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21.发明授权Methods of using high intensity focused ultrasound to form an ablated tissue area containing a plurality of lesions 有权使用高强度聚焦超声波形成包含多个病变的消融组织区域的方法公开(公告)号：US09227088B2
公开(公告)日：2016-01-05
申请号：US12772437
申请日：2010-05-03
申请人： James B. Hissong , Mark T. Stewart , David E. Francischelli , James R. Keough , James R. Skarda , Hotaik Lee , Nadine B. Smith
发明人： James B. Hissong , Mark T. Stewart , David E. Francischelli , James R. Keough , James R. Skarda , Hotaik Lee , Nadine B. Smith
CPC分类号： A61B17/320068 , A61B8/4281 , A61B34/20 , A61B2017/320076 , A61B2017/320078 , A61B2018/00291 , A61B2034/2051 , A61B2090/378 , A61B2090/3782 , A61N7/02 , A61N7/022 , A61N2007/0078
摘要： A device and method for ablating tissue is disclosed comprising the steps of acquiring an anatomical image of a patient, correlating the image to the patient, guiding an ablating member within the patient while tracking the position of the ablating member in the patient, positioning the ablating member in a desired position to ablate tissue, emitting ablating energy from the ablating member to form an ablated tissue area and removing the ablating member from the patient.
摘要翻译： 公开了一种用于消融组织的装置和方法，包括以下步骤：获取患者的解剖图像，将图像与患者相关联，在跟踪患者内的消融部件的位置的同时引导患者内的消融部件，定位消融 成员在消融组织的期望位置，从烧蚀构件发出消融能量以形成消融的组织区域，并从患者身上移除消融部件。
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公开(公告)号：US08512337B2
公开(公告)日：2013-08-20
申请号：US10923073
申请日：2004-08-20
IPC分类号： A61B18/12
CPC分类号： A61B18/1445 , A61B18/1402 , A61B2017/2945 , A61B2018/00994 , A61B2018/126 , A61B2018/1432 , A61B2018/1472
摘要： A method of and a system for treatment of atrial tachyarrhythmias. The system includes a set of hemostats having elongated opposing jaws carrying mechanisms for applying ablation energy along the jaws. The jaws having straight and curved configurations selected to allow arrangement of the jaws of along opposite sides of walls of a patient's atrium. Treatment is accomplished by applying of ablation energy to the walls of a patient's artria to create lines of lesion corresponding generally to incisions employed in a Maze type procedure.
摘要翻译： 一种治疗房性快速性心律失常的方法和系统。 该系统包括一组具有延长的相对的夹爪的止血器，该钳口携带用于沿钳口施加消融能量的机构。 钳口具有直的和弯曲的构造，其被选择为允许沿着病人心房的壁的相对侧布置钳口。 通过将消融能量施加到患者的肌肉的壁上来实现治疗，以产生通常对于迷宫类型手术中使用的切口相应的损伤线。
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公开(公告)号：US08221402B2
公开(公告)日：2012-07-17
申请号：US11298282
申请日：2005-12-09
CPC分类号： A61N7/02 , A61B8/4272 , A61B18/1442 , A61B34/20 , A61B2017/00243 , A61B2018/00291 , A61B2034/2051 , A61B2034/2053 , A61B2034/2063 , A61B2090/378 , A61B2090/397 , A61N7/022 , A61N2007/0078
摘要： A device and method for ablating tissue is disclosed comprising the steps of acquiring an anatomical image of a patient, correlating the image to the patient, guiding an ablating member within the patient while tracking the position of the ablating member in the patient, positioning the ablating member in a desired position to ablate tissue, emitting ablating energy from the ablating member to form an ablated tissue area and removing the ablating member from the patient.
摘要翻译： 公开了一种用于消融组织的装置和方法，包括以下步骤：获取患者的解剖图像，将图像与患者相关联，在跟踪患者内的消融部件的位置的同时引导患者内的消融部件，定位消融 成员在消融组织的期望位置，从烧蚀构件发出消融能量以形成消融的组织区域，并从患者身上移除消融部件。
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公开(公告)号：US07959626B2
公开(公告)日：2011-06-14
申请号：US11780911
申请日：2007-07-20
IPC分类号： A61B18/18
CPC分类号： A61B18/1206 , A61B5/053 , A61B5/7203 , A61B18/14 , A61B18/1442 , A61B2017/00092 , A61B2018/0016 , A61B2018/00351 , A61B2018/00363 , A61B2018/00577 , A61B2018/00666 , A61B2018/00678 , A61B2018/00702 , A61B2018/00708 , A61B2018/00761 , A61B2018/00791 , A61B2018/00875 , A61B2018/00886 , A61B2018/1467 , A61B2218/002
摘要： A method of applying ablation energy to achieve transmurality including applying ablation energy at a starting power to a tissue site and monitoring the impedance of the tissue site. The power applied to the tissue site can be increased in response to detection of a power plateau or application of a first power for a minimum time according to some embodiments. A power applied to the tissue site can be reduced in response to an increase in impedance according to some embodiments. Transmurality can be indicated in response to a transmurality plateau following a rise in impedance according to some embodiments.
摘要翻译： 一种施加消融能量以实现透视性的方法，包括以起始功率对组织部位施加消融能量并监测组织部位的阻抗。 根据一些实施例，施加到组织部位的功率可以响应于功率平台的检测或最小时间的应用而增加。 根据一些实施例，响应于阻抗的增加，施加到组织部位的功率可以减小。 根据一些实施例，可以响应于阻抗上升之后的透壁平台来指示透明度。
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公开(公告)号：US07435250B2
公开(公告)日：2008-10-14
申请号：US11061425
申请日：2005-02-18
申请人： David E. Francischelli , Richard H. Comben , Michael F. Hoey , Rahul Mehra , Jon M. Ocel , Robert Pearson , Paul V. Trescony , Scott E. Jahns
发明人： David E. Francischelli , Richard H. Comben , Michael F. Hoey , Rahul Mehra , Jon M. Ocel , Robert Pearson , Paul V. Trescony , Scott E. Jahns
IPC分类号： A61B18/18
CPC分类号： A61B18/1492 , A61B18/1445 , A61B2018/00065 , A61B2018/00351 , A61B2018/00577 , A61B2018/1435 , A61B2018/1472 , A61B2218/002
摘要： A device for ablating tissue is provided. The device comprises a conductive element with a channel for irrigating fluid formed therein, which is in contact with a non-conductive microporous interface. All or a portion of the interface may be removable. When the interface is removed, a portion of the conductive element is exposed for use in ablating tissue. Methods of using the device and of removing the interface are also provided.
摘要翻译： 提供了用于消融组织的装置。 该装置包括导电元件，其具有用于在其中形成的冲洗流体的通道，其与非导电微孔界面接触。 界面的全部或部分可以是可移动的。 当界面被去除时，导电元件的一部分被暴露以用于消融组织。 还提供了使用设备和移除界面的方法。
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公开(公告)号：US06989010B2
公开(公告)日：2006-01-24
申请号：US10364553
申请日：2003-02-11
申请人： David E. Francischelli , Eduardo N. Warman , Justin A. Harder , Scott E. Jahns , Alison Lutterman
发明人： David E. Francischelli , Eduardo N. Warman , Justin A. Harder , Scott E. Jahns , Alison Lutterman
IPC分类号： A61B18/18
CPC分类号： A61B18/1206 , A61B18/1442 , A61B2018/0016 , A61B2018/00351 , A61B2018/00363 , A61B2018/00577 , A61B2018/00702 , A61B2018/00761 , A61B2018/00791 , A61B2018/00875 , A61B2018/00886 , A61B2018/1467 , A61B2218/002
摘要： A system and method for creating lesions and assessing their completeness or transmurality. Assessment of transmurality of a lesion is accomplished by monitoring the impedance of the tissue to be ablated. Rather than attempting to detect a desired drop or a desired increase impedance, completeness of a lesion is detected in response to the measured impedance remaining at a stable level for a desired period of time, referred to as an impedance plateau. The mechanism for determining transmurality of lesions adjacent individual electrodes or pairs may be used to deactivate individual electrodes or electrode pairs, when the lesions in tissue adjacent these individual electrodes or electrode pairs are complete, to create an essentially uniform lesion along the line of electrodes or electrode pairs, regardless of differences in tissue thickness adjacent the individual electrodes or electrode pairs.
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公开(公告)号：US06807968B2
公开(公告)日：2004-10-26
申请号：US10015690
申请日：2001-12-12
IPC分类号： A61B1818
CPC分类号： A61B18/1445 , A61B18/1402 , A61B2017/2945 , A61B2018/00994 , A61B2018/126 , A61B2018/1432 , A61B2018/1472
摘要： A method of and a system for treatment of atrial tachyarrhythmias. The system includes a set of hemostats having elongated opposing jaws carrying mechanisms for applying ablation energy along the jaws. The jaws having straight and curved configurations selected to allow arrangement of the jaws of along opposite sides of walls of a patient's atrium. Treatment is accomplished by applying of ablation energy to the walls of a patient's artria to create lines of lesion corresponding generally to incisions employed in a Maze type procedure.
摘要翻译： 一种治疗房性快速性心律失常的方法和系统。 该系统包括一组具有延长的相对的夹爪的止血器，该钳口携带用于沿钳口施加消融能量的机构。 钳口具有直的和弯曲的构造，其被选择为允许沿着病人心房的壁的相对侧布置钳口。 通过将消融能量施加到患者的肌肉的壁上来实现治疗，以产生通常对于迷宫类型手术中使用的切口相应的损伤线。
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公开(公告)号：US06706038B2
公开(公告)日：2004-03-16
申请号：US10409871
申请日：2003-04-09
IPC分类号： A61F700
CPC分类号： A61B5/411 , A61B5/015 , A61B18/02 , A61B18/1402 , A61B18/1442 , A61B18/1482 , A61B18/1492 , A61B2017/00084 , A61B2017/00088 , A61B2017/00092 , A61B2017/00101 , A61B2017/00128 , A61B2017/00203 , A61B2017/00243 , A61B2018/00011 , A61B2018/00029 , A61B2018/0016 , A61B2018/00291 , A61B2018/00351 , A61B2018/00357 , A61B2018/00363 , A61B2018/00577 , A61B2018/00642 , A61B2018/00702 , A61B2018/00738 , A61B2018/00761 , A61B2018/00791 , A61B2018/00797 , A61B2018/00815 , A61B2018/00821 , A61B2018/0091 , A61B2018/0262
摘要： A device for monitoring temperature generated by an ablation apparatus on organic tissue is provided. The device comprises a temperature sensing pad; and an output device to receive and display a representation of a lesion found on the ablated organic tissue. Ablation systems incorporating the device and methods of using the device are also provided.
摘要翻译： 提供了一种用于监测由消融装置在有机组织上产生的温度的装置。 该装置包括温度检测垫; 以及用于接收和显示在烧蚀的有机组织上发现的损伤的表示的输出装置。 还提供了包含装置的消融系统和使用该装置的方法。
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公开(公告)号：US06699240B2
公开(公告)日：2004-03-02
申请号：US10016297
申请日：2001-12-12
IPC分类号： A61B1804
CPC分类号： A61B18/1445 , A61B18/1402 , A61B18/1442 , A61B2018/00994 , A61B2018/126 , A61B2018/1472
摘要： An ablation system and a method of its use. The system includes a first elongated ablation component carrying a longitudinally extending mechanism for delivery of ablation energy along its length, and a second elongated ablation component movable relative to the first ablation component. The first and second components are provided with a mechanism mounted to and extending along the first and second components for magnetically attracting the first and second components toward one another along the length of the first mechanism for delivery of ablation energy. Preferably, the second elongated ablation component also carries a longitudinally extending mechanism for delivery of ablation energy along its length.
摘要翻译： 消融系统及其使用方法。 该系统包括承载用于沿着其长度递送消融能量的纵向延伸机构的第一细长消融部件和可相对于第一消融部件移动的第二细长消融部件。 第一和第二部件设置有安装到第一和第二部件并沿着第一和第二部件延伸的机构，用于沿着第一机构的长度朝向彼此磁吸引第一和第二部件以传递消融能量。 优选地，第二细长消融部件还承载用于沿其长度输送消融能量的纵向延伸机构。
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公开(公告)号：US06572612B2
公开(公告)日：2003-06-03
申请号：US09975789
申请日：2001-10-11
IPC分类号： A61B1814
CPC分类号： A61B18/1492 , A61B2017/00044 , A61B2017/00243 , A61B2017/00867 , A61B2018/00214 , A61B2018/1407 , A61B2018/1435
摘要： A catheter assembly and method for treatment of cardiac arrhythmia, for example, atrial fibrillation, by electrically isolating a vessel, such as a pulmonary vein, from a chamber, such as the left atrium. The catheter assembly includes a catheter body and at least one electrode. The catheter body includes a proximal portion, an intermediate portion and a distal portion. The intermediate portion extends from the proximal portion and defines a longitudinal axis. The distal portion extends from the intermediate portion and forms a substantially closed loop transverse to the longitudinal axis. The at least one electrode is disposed along the loop. With this configuration, the loop is axially directed into contact with the chamber wall about the vessel ostium. Upon energization, the electrode ablates a continuous lesion pattern about the vessel ostium, thereby electrically isolating the vessel from the chamber.
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