摘要:
The invention is directed to an intracorporeal device for myocardial revascularization of a patient's heart tissue by at least one burst of RF energy over an interval of about 1 to about 500 msec, preferably about 30 to about 130 msec. The intracorporeal device has an elongated insulated, electrical conducting shaft with an uninsulated distal tip which is configured to emit RF energy. The uninsulated distal tip has a diameter of about 0.025 to about 0.2 inch, preferably about 0.04 to about 0.08 inch and a length of about 0.1 to about 5 mm, preferably about 1.5 to about 3.5 mm.
摘要:
Embodiments of the disclosed technology provide systems, devices, and methods of creating an electrosurgical tissue seal that is augmented with a seal-enhancing composition. One embodiment of a device includes a set of opposing electrosurgical jaws configured to be able to close on a targeted tissue-sealing site; the jaws have a reservoir configured to hold a tissue seal-enhancing composition. The reservoir is in communication with a surface of the tissue-sealing site when the jaws are closed on the site, and the electrosurgical device is configured to deliver the tissue seal-enhancing composition to the site during an electrosurgical procedure. The device is further configured to deliver sufficient radiofrequency energy to the site such that the targeted tissue and the tissue seal-enhancing composition at the tissue-sealing site are processed to form a high integrity sealed tissue site.
摘要:
A method of controlling electrosurgical power delivery is based on a comparison of sensed tissue impedance to various impedance threshold values. Energy is delivered to tissue in a sealing cycle as a series of pulses. A pulse has a profile with a preset energy starting value that increases at a ramping rate to a preset end value. Sensed impedance data are monitored throughout each pulse and compared to each of an impedance threshold value for RF setpoint, an impedance threshold value for cumulative time, and an impedance threshold value for energy cutback. Based on sensed impedance during a pulse, the profile of a subsequent pulse can be modified. In the event of a high impedance event that reflects low tissue presence, energy may be cutback. A sealing cycle is stopped when a cumulative amount of time with an impedance value over the impedance cumulative time threshold value reaches a limit.
摘要:
Methods and apparatus for treatment of layered tissue defects such as a patent foramen ovale provide for applying energy to tissues adjacent to the PFO with a closure device that substantially closes the PFO. Apparatus generally includes an elongate flexible member having a proximal end and a distal end and an energy transmission member deployable from the elongate flexible member. The energy transmission member applies energy to the layered tissue defect at a first position and a second position adjacent to the first position so as to substantially close the layered tissue defect along at least a portion of the defect. Applied energy may be monopolar or bipolar radiofrequency energy or any other suitable energy, such as laser, microwave, ultrasound, resistive heating, direct heat energy, cryogenic or the like. PFO closure via energy-based approaches of the invention may help prevent stroke, treat migraine headache, and possibly treat or prevent other medical conditions.
摘要:
A medical probe for mapping is provided. The medical probe includes an elongated member, a first mapping ring electrode mounted to the elongated member, and a second mapping ring electrode mounted to the elongated member. The first and second mapping ring electrodes are electrically insulated from each other. The second mapping ring electrode is located substantially concentric to the first mapping ring electrode, and is coaxially surrounding the first mapping ring electrode.
摘要:
A medical device for use by an operator to perform a medical procedure in a body includes a handle to be held by the operator, a shaft attached to the handle and an actuating assembly to control functions associated with the medical procedure. The shaft includes an operative distal portion to perform a medical procedure in the body. The medical device may be part of an ablation catheter system that is programmed to correlate one or more functions with the actuation of the actuating assembly. Multiple actuating assemblies may be provided. Each actuating assembly may be a button. Other types of actuating assemblies may also be used, such as switches or a trackball. The actuating assembly may also be provided on a sleeve that may be selectively attached to the handle of the catheter or the physician operating the catheter, for example.
摘要:
A catheter tip for mapping and/or ablation is provided. The medical probe tip includes a first ring electrode and a second ring electrode that is electrically insulated from the first ring electrode. The second ring electrode is located substantially concentric to the first ring electrode, and is coaxially surrounding the first ring electrode.
摘要:
An electromagnetic sensor capable of maintaining its accuracy through temperature cycling is provided. The sensor element material of an electromagnetic sensor is covered by an encapsulant having substantially similar thermal expansion values as the sensor element material. By matching the thermal expansion values of the components, changes in component orientation may be minimized during temperature cycling thus reducing the need for recalibration of the sensor assembly. In one embodiment the encapsulant is doped with a ceramic material or glass microspheres to achieve a thermal expansion coefficient similar to the thermal expansion coefficient of the copper sensor element material.
摘要:
A catheter with several independent lumens extending longitudinally through the catheter for accepting probes and for introducing fluid through the catheter and into a body cavity is disclosed. The catheter outer body has a cross-sectional maximum outer dimension. The first lumen is circular in cross-section, and has a cross-sectional dimension of approximately half the maximum outer dimension of the catheter body. The first lumen is capable of accepting various probes, as well as allowing simultaneous fluid flow through the lumen. The second lumen is crescent-shaped in cross-section and occupies at least a quarter of an arc around the cross-section of the catheter body. The large cross-section of the second lumen allows for a high fluid flow rate through the lumen. The third lumen allows for inflation of an inflation balloon (when present), and the fourth lumen allows for the passing of a portion of an instrument along the length of the lumen.