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41.发明申请公开(公告)号：US20080045935A1
公开(公告)日：2008-02-21
申请号：US11935582
申请日：2007-11-06
Applicant: James Cox , Stephen Boyd , Hanson Gifford , Matthias Vaska , Daniel Merrick
Inventor： James Cox , Stephen Boyd , Hanson Gifford , Matthias Vaska , Daniel Merrick
IPC: A61B18/02
CPC classification number: A61B17/00234 , A61B1/042 , A61B8/12 , A61B17/0057 , A61B17/0218 , A61B17/0467 , A61B17/0469 , A61B17/06061 , A61B17/2909 , A61B17/320016 , A61B17/3211 , A61B17/3468 , A61B18/00 , A61B18/02 , A61B18/1447 , A61B18/1482 , A61B18/1492 , A61B18/18 , A61B18/20 , A61B90/37 , A61B90/50 , A61B2017/00243 , A61B2017/00247 , A61B2017/00575 , A61B2017/00946 , A61B2017/0243 , A61B2017/047 , A61B2017/0472 , A61B2017/0474 , A61B2017/0475 , A61B2017/2931 , A61B2017/2943 , A61B2017/2945 , A61B2017/306 , A61B2017/3405 , A61B2017/3419 , A61B2017/3486 , A61B2017/3492 , A61B2018/00214 , A61B2018/00232 , A61B2018/00261 , A61B2018/00291 , A61B2018/00363 , A61B2018/00392 , A61B2018/00577 , A61B2018/0212 , A61B2018/0225 , A61B2018/0262 , A61B2018/1432 , A61B2018/145 , A61B2018/1465 , A61F2/2427 , A61M25/1011 , A61M39/0247 , A61M2025/028 , A61M2039/0252 , A61M2039/0276 , A61M2039/0279 , A61M2205/3344 , A61M2205/3355 , A61M2205/366 , A61N7/02
Abstract: The invention provides surgical systems and methods for ablating heart tissue within the interior and/or exterior of the heart. A plurality of probes is provided with each probe configured for introduction into the chest for engaging the heart. Each probe includes an elongated shaft having an elongated ablating surface of a predetermined shape. The elongated shaft and the elongated ablating surface of each probe are configured to ablate a portion of the heart. A sealing device affixed to the heart tissue forms a hemostatic seal between the probe and the penetration in the heart to inhibit blood loss therethrough.
Abstract translation: 本发明提供了用于消除心脏内部和/或外部的心脏组织的外科系统和方法。 设置有多个探针，每个探针被配置成引入胸部以接合心脏。 每个探针包括具有预定形状的细长烧蚀表面的细长轴。 每个探针的细长轴和细长的烧蚀表面被配置成烧蚀心脏的一部分。 固定在心脏组织上的密封装置在探针和心脏中的穿透之间形成止血密封，以抑制通过其中的失血。
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公开(公告)号：US20070066862A1
公开(公告)日：2007-03-22
申请号：US11417521
申请日：2006-05-03
Applicant: Matthias Vaska
Inventor： Matthias Vaska
IPC: A61M1/10
CPC classification number: A61N1/3627 , A61B2018/00351 , A61M1/1008 , A61M1/106 , A61M1/1068 , A61M1/12 , A61M1/127 , A61M2205/8243 , A61M2230/04
Abstract: The present invention provides a cardiac assist device which exerts pressure against the epicardial surface to assist the heart in pumping blood. The device may form a pumping space adjacent to an epicardial ventricular surface and/or an epicardial atrial surface. The cardiac assist device may permit the fluid to come into direct contact with the epicardium. The cardiac assist device may include a flexible jacket which at least partially collapses when fluid is withdrawn from the pumping space.
Abstract translation: 本发明提供了一种心脏辅助装置，其对心外膜表面施加压力以帮助心脏泵送血液。 该装置可形成邻近心外膜表面和/或心外膜表面的泵送空间。 心脏辅助装置可允许流体与心外膜直接接触。 心脏辅助装置可以包括柔性护套，其在从泵送空间抽出流体时至少部分地塌缩。
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公开(公告)号：US20050251125A1
公开(公告)日：2005-11-10
申请号：US10879975
申请日：2004-06-28
Applicant: Benjamin Pless , Scott Anderson , Jonathan Podmore , Matthias Vaska , John Crowe , Roxanne Richman , Timothy Ciciarelli , David Gallup , Jack Ulstad
Inventor： Benjamin Pless , Scott Anderson , Jonathan Podmore , Matthias Vaska , John Crowe , Roxanne Richman , Timothy Ciciarelli , David Gallup , Jack Ulstad
IPC: A61B5/042 , A61B8/00 , A61B17/00 , A61B17/22 , A61B17/34 , A61B18/00 , A61B18/02 , A61B18/04 , A61B18/14 , A61B18/18 , A61B19/00 , A61N1/06 , A61N1/362 , A61N7/00 , A61N7/02
CPC classification number: A61B17/22012 , A61B5/0422 , A61B17/2202 , A61B18/00 , A61B18/02 , A61B18/1402 , A61B18/148 , A61B18/1482 , A61B18/1492 , A61B34/20 , A61B2017/00039 , A61B2017/00243 , A61B2017/00247 , A61B2017/00252 , A61B2017/003 , A61B2017/22077 , A61B2017/3419 , A61B2018/00023 , A61B2018/0016 , A61B2018/00232 , A61B2018/00261 , A61B2018/00285 , A61B2018/00291 , A61B2018/00351 , A61B2018/00363 , A61B2018/00392 , A61B2018/00577 , A61B2018/00654 , A61B2018/00797 , A61B2018/00839 , A61B2018/142 , A61B2018/1467 , A61B2018/1472 , A61B2090/3614 , A61B2090/3782 , A61B2090/395 , A61B2218/002 , A61B2218/007 , A61N1/06 , A61N1/362 , A61N7/02 , A61N2007/0065 , A61N2007/0078 , A61N2007/027
Abstract: A control system alters one or more characteristics of an ablating element to ablate tissue. In one aspect, the control system delivers energy nearer to the surface of the tissue by changing the frequency or power. In another aspect, the ablating element delivers focused ultrasound which is focused in at least one dimension. The ablating device may also have a number of ablating elements with different characteristics such as focal length.
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公开(公告)号：US06805128B1
公开(公告)日：2004-10-19
申请号：US09614991
申请日：2000-07-12
Applicant: Benjamin Pless , Scott C. Anderson , Jonathan L. Podmore , Matthias Vaska , John E. Crowe , Roxanne L. Richman , Timothy Ciciarelli , David A. Gallup , Jack E. Ulstad, Jr.
Inventor： Benjamin Pless , Scott C. Anderson , Jonathan L. Podmore , Matthias Vaska , John E. Crowe , Roxanne L. Richman , Timothy Ciciarelli , David A. Gallup , Jack E. Ulstad, Jr.
IPC: A61B1900
CPC classification number: A61B18/02 , A61B18/1482 , A61B18/1492 , A61B2017/00039 , A61B2018/00285 , A61B2018/00291 , A61B2018/00351 , A61B2018/00839 , A61B2018/1467 , A61B2018/1472 , A61B2218/002 , A61B2218/007 , A61N1/06 , A61N7/02 , A61N2007/0065 , A61N2007/0078 , A61N2007/027
Abstract: A control system alters one or more characteristics of an ablating element to ablate tissue. In one aspect, the control system delivers energy nearer to the surface of the tissue by changing the frequency or power. In another aspect, the ablating element delivers focused ultrasound which is focused in at least one dimension. The ablating device may also have a number of ablating elements with different characteristics such as focal length.
Abstract translation: 控制系统改变烧蚀元件的一个或多个特征以消融组织。 在一个方面，控制系统通过改变频率或功率来传送更接近组织表面的能量。 在另一方面，消融元件传递聚焦在至少一个维度上的聚焦超声。 烧蚀装置还可以具有许多具有不同特征的烧蚀元件，例如焦距。
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45.发明授权Devices and methods for port-access multivessel coronary artery bypass surgery 有权用于端口进入多支冠状动脉搭桥手术的装置和方法公开(公告)号：US06478029B1
公开(公告)日：2002-11-12
申请号：US09634608
申请日：2000-08-05
Applicant: Stephen W. Boyd , Alan R. Rapacki , Matthias Vaska , Brian S. Donlon , William S. Peters
Inventor： Stephen W. Boyd , Alan R. Rapacki , Matthias Vaska , Brian S. Donlon , William S. Peters
IPC: A61B1900
CPC classification number: A61B17/29 , A61B17/00234 , A61B17/0218 , A61B17/2909 , A61B18/1492 , A61B90/36 , A61B2017/00243 , A61B2017/00247 , A61B2017/0237 , A61B2017/0243 , A61B2017/047 , A61B2017/0472 , A61B2017/2901 , A61B2017/2905 , A61B2017/2912 , A61B2017/2927 , A61B2017/2932 , A61B2017/306 , A61B2017/308 , A61B2017/3405 , A61B2017/3492 , A61B2018/00214 , A61B2018/00232 , A61B2018/00261 , A61B2018/00291 , A61B2018/00363 , A61B2018/00392 , A61B2018/00577 , A61B2090/306 , A61F2/2427 , A61F7/10 , A61F2007/0001 , A61F2007/0054 , A61F2007/101 , A61M25/1011 , A61M39/0247 , A61M2025/028 , A61M2039/0279 , A61M2205/3344 , A61M2205/3355 , A61M2205/366
Abstract: Surgical methods and instruments are disclosed for performing port-access or closed-chest coronary artery bypass (CABG) surgery in multivessel coronary artery disease. In contrast to standard open-chest CABG surgery, which requires a median sternotomy or other gross thoracotomy to expose the patient's heart, post-access CABG surgery is performed through small incisions or access ports made through the intercostal spaces between the patient's ribs, resulting in greatly reduced pain and morbidity to the patient. In situ arterial bypass grafts, such as the internal mammary arteries and/or the right gastroepiploic artery, are prepared for grafting by thoracoscopic or laparoscopic takedown techniques. Free grafts, such as a saphenous vein graft or a free arterial graft, can be used to augment the in situ arterial grafts. The graft vessels are anastomosed to the coronary arteries under direct visualization through a cardioscopic microscope inserted through an intercostal access port. Retraction instruments are provided to manipulate the heart within the closed chest of the patient to expose each of the coronary arteries for visualization and anastomosis. Disclosed are a tunneler and an articulated tunneling grasper for rerouting the graft vessels, and a finger-like retractor, a suction cup retractor, a snare retractor and a loop retractor for manipulating the heart. Also disclosed is a port-access topical cooling device for improving myocardial protection during the port-access CABG procedure. An alternate surgical approach using an anterior mediastinotomy is also described.
Abstract translation: 公开了手术方法和手段，用于在多支冠状动脉疾病中进行门禁或封闭式冠状动脉旁路（CABG）手术。 与标准的胸腔CABG手术相比，其需要中位胸骨切开术或其他大胸廓切开术来暴露患者的心脏，通过穿过患者肋骨之间的肋间空间形成的小切口或进入口进行后访问CABG手术，导致 大大减轻患者的疼痛和发病率。 通过胸腔镜或腹腔镜移植技术准备原位动脉旁路移植物，例如乳内动脉和/或右胃腹动脉，用于移植。 可以使用游离移植物，例如隐静脉移植物或自由动脉移植物来增加原位动脉移植物。 通过插入通过肋间进入口的心脏显微镜，直接观察移植血管与冠状动脉吻合。 提供收缩器械以操纵患者的封闭胸部内的心脏以暴露每个冠状动脉以进行可视化和吻合。 公开了一种用于重新路由移植血管的隧道器和铰接隧道抓紧器，以及用于操纵心脏的手指状牵开器，吸盘牵开器，圈套牵开器和回卷器。 还公开了一种用于在端口访问CABG过程期间改善心肌保护的端口访问局部冷却装置。 还描述了使用前纵隔切开术的替代手术方法。
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Patent Agency Ranking
46.发明授权Apparatus and method for diagnosis and therapy of electrophysiological disease 有权用于诊断和治疗电生理疾病的装置和方法公开(公告)号：US06474340B1
公开(公告)日：2002-11-05
申请号：US09440825
申请日：1999-11-15
Applicant: Matthias Vaska , Benjamin Pless , David A. Gallup , Jack E. Ulstad, Jr. , Scott C. Anderson , Roxanne L. Richman
Inventor： Matthias Vaska , Benjamin Pless , David A. Gallup , Jack E. Ulstad, Jr. , Scott C. Anderson , Roxanne L. Richman
IPC: A61B1900
CPC classification number: A61B18/00 , A61B5/0422 , A61B18/02 , A61B18/1402 , A61B18/148 , A61B18/1482 , A61B18/1492 , A61B34/20 , A61B2017/00247 , A61B2017/003 , A61B2017/3419 , A61B2018/00023 , A61B2018/0016 , A61B2018/00232 , A61B2018/00261 , A61B2018/00285 , A61B2018/00291 , A61B2018/00351 , A61B2018/00363 , A61B2018/00392 , A61B2018/00577 , A61B2018/00654 , A61B2018/00797 , A61B2018/00839 , A61B2018/142 , A61B2018/145 , A61B2018/1467 , A61B2018/1472 , A61B2090/3614 , A61B2090/3782 , A61B2218/002 , A61B2218/007 , A61N1/06 , A61N1/362 , A61N7/02
Abstract: The invention provides apparatus and methods for mapping conduction pathways and creating lesions in the heart wall for the treatment of atrial fibrillation. The apparatus may include at least one epicardial ablation probe having a plurality of electrodes for creating a lesion. The apparatus and method facilitate the formation of a lesion which electrically isolates the pulmonary veins from the surrounding myocardium.
Abstract translation: 本发明提供了用于映射传导途径并在心脏壁中产生病变以用于治疗房颤的装置和方法。 该装置可以包括至少一个具有用于产生病变的多个电极的心外膜消融探针。 该装置和方法有助于形成将肺静脉与周围心肌电隔离的病变。
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公开(公告)号：US06314963B1
公开(公告)日：2001-11-13
申请号：US09440830
申请日：1999-11-15
Applicant: Matthias Vaska , Banjamin Pless , David A. Gallup , Jack E. Ulstad, Jr. , Scott C. Anderson , Roxanne L. Richman
Inventor： Matthias Vaska , Banjamin Pless , David A. Gallup , Jack E. Ulstad, Jr. , Scott C. Anderson , Roxanne L. Richman
IPC: A61B1704
CPC classification number: A61B18/00 , A61B5/0422 , A61B18/02 , A61B18/1402 , A61B18/148 , A61B18/1482 , A61B18/1492 , A61B34/20 , A61B2017/00247 , A61B2017/003 , A61B2017/3419 , A61B2018/00023 , A61B2018/0016 , A61B2018/00232 , A61B2018/00261 , A61B2018/00285 , A61B2018/00291 , A61B2018/00351 , A61B2018/00363 , A61B2018/00392 , A61B2018/00577 , A61B2018/00654 , A61B2018/00797 , A61B2018/00839 , A61B2018/142 , A61B2018/145 , A61B2018/1467 , A61B2018/1472 , A61B2090/3614 , A61B2090/3782 , A61B2218/002 , A61B2218/007 , A61N1/06 , A61N1/362 , A61N7/02
Abstract: The invention provides apparatus and methods for mapping conduction pathways and creating lesions in the heart wall for the treatment of atrial fibrillation. The apparatus may include at least one epicardial ablation probe having a plurality of electrodes for creating a lesion. The apparatus and method facilitate the formation of a lesion which electrically isolates the pulmonary veins from the surrounding myocardium.
Abstract translation: 本发明提供了用于映射传导途径并在心脏壁中产生病变以用于治疗房颤的装置和方法。 该装置可以包括至少一个具有用于产生病变的多个电极的心外膜消融探针。 该装置和方法有助于形成将肺静脉与周围心肌电隔离的病变。
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48.发明授权Apparatus and method for diagnosis and therapy of electrophysiological disease 有权用于诊断和治疗电生理疾病的装置和方法公开(公告)号：US06311692B1
公开(公告)日：2001-11-06
申请号：US09356476
申请日：1999-07-19
Applicant: Matthias Vaska , Benjamin Pless , David A. Gallup , Jack E. Ulstad, Jr. , Scott C. Anderson , Roxanne L. Richman
Inventor： Matthias Vaska , Benjamin Pless , David A. Gallup , Jack E. Ulstad, Jr. , Scott C. Anderson , Roxanne L. Richman
IPC: A61B1900
CPC classification number: A61B18/00 , A61B5/0422 , A61B18/02 , A61B18/1402 , A61B18/148 , A61B18/1482 , A61B18/1492 , A61B34/20 , A61B2017/00247 , A61B2017/003 , A61B2017/3419 , A61B2018/00023 , A61B2018/0016 , A61B2018/00232 , A61B2018/00261 , A61B2018/00285 , A61B2018/00291 , A61B2018/00351 , A61B2018/00363 , A61B2018/00392 , A61B2018/00577 , A61B2018/00654 , A61B2018/00797 , A61B2018/00839 , A61B2018/142 , A61B2018/145 , A61B2018/1467 , A61B2018/1472 , A61B2090/3614 , A61B2090/3782 , A61B2218/002 , A61B2218/007 , A61N1/06 , A61N1/362 , A61N7/02
Abstract: The invention provides apparatus and methods for mapping conduction pathways and creating lesions in the heart wall for the treatment of atrial fibrillation. The apparatus may include at least one epicardial ablation probe having a plurality of electrodes for creating a lesion. The apparatus and method facilitate the formation of a lesion which electrically isolates the pulmonary veins from the surrounding myocardium.
Abstract translation: 本发明提供了用于映射传导途径并在心脏壁中产生病变以用于治疗房颤的装置和方法。 该装置可以包括至少一个具有用于产生病变的多个电极的心外膜消融探针。 该装置和方法有助于形成将肺静脉与周围心肌电隔离的病变。
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公开(公告)号：US06237605B1
公开(公告)日：2001-05-29
申请号：US09157824
申请日：1998-09-21
Applicant: Matthias Vaska , Daniel D. Merrick , Ajit S. Shah , Casper deClerq
Inventor： Matthias Vaska , Daniel D. Merrick , Ajit S. Shah , Casper deClerq
IPC: A61B1900
CPC classification number: A61B18/1482 , A61B5/0422 , A61B18/00 , A61B18/02 , A61B18/1492 , A61B34/20 , A61B2017/00247 , A61B2017/003 , A61B2017/3419 , A61B2018/0016 , A61B2018/00232 , A61B2018/00261 , A61B2018/00285 , A61B2018/00291 , A61B2018/00351 , A61B2018/00363 , A61B2018/00392 , A61B2018/00577 , A61B2018/00839 , A61B2018/145 , A61B2018/1467 , A61N1/06
Abstract: The invention provides apparatus and methods for mapping conduction pathways and creating transmural lesions in the heart wall for the treatment of atrial fibrillation. The apparatus may include at least one epicardial ablation probe having a plurality of electrodes for creating a transmural lesion. The apparatus and method facilitate the formation of a transmural lesion which electrically isolates the pulmonary veins from the surrounding myocardium without cutting or penetrating the pericardial reflections.
Abstract translation: 本发明提供了用于映射传导途径并在心脏壁中产生透壁病变以用于治疗房颤的装置和方法。 该装置可以包括至少一个具有多个用于产生透壁病变的电极的心外膜消融探针。 该装置和方法有助于形成透壁病变，其将肺静脉与周围心肌电隔离，而不会切割或穿透心包反射。
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公开(公告)号：US09055959B2
公开(公告)日：2015-06-16
申请号：US11785427
申请日：2007-04-17
Applicant: Matthias Vaska , Stephen W. Boyd , Hanson S. Gifford , James L. Cox , Jonathan L. Podmore , John E. Crowe , Michael C Holzbaur , Timothy E. Ciciarelli , Drew Hoffmann , Casey Tansey , John W. Sliwa , Scott C. Anderson
Inventor： Matthias Vaska , Stephen W. Boyd , Hanson S. Gifford , James L. Cox , Jonathan L. Podmore , John E. Crowe , Michael C Holzbaur , Timothy E. Ciciarelli , Drew Hoffmann , Casey Tansey , John W. Sliwa , Scott C. Anderson
IPC: A61B18/14 , A61B17/22 , A61B17/225 , A61B18/00 , A61B18/02 , A61N1/06 , A61N7/02 , A61B5/042 , A61B19/00 , A61B17/00 , A61B17/34 , A61M25/00 , A61M25/04 , A61M25/10 , A61M25/02 , A61N1/362
CPC classification number: A61B17/22012 , A61B5/0422 , A61B17/2202 , A61B17/2251 , A61B18/00 , A61B18/02 , A61B18/1402 , A61B18/148 , A61B18/1482 , A61B18/1492 , A61B34/20 , A61B2017/00243 , A61B2017/00247 , A61B2017/00252 , A61B2017/003 , A61B2017/22077 , A61B2017/2253 , A61B2017/3419 , A61B2018/00023 , A61B2018/0016 , A61B2018/00232 , A61B2018/00261 , A61B2018/00285 , A61B2018/00291 , A61B2018/00351 , A61B2018/00363 , A61B2018/00375 , A61B2018/00392 , A61B2018/00577 , A61B2018/00654 , A61B2018/00797 , A61B2018/00839 , A61B2018/142 , A61B2018/1467 , A61B2018/1472 , A61B2090/3614 , A61B2090/3782 , A61B2090/395 , A61B2218/002 , A61B2218/007 , A61M25/0041 , A61M25/0084 , A61M25/04 , A61M25/1002 , A61M25/1011 , A61M2025/0293 , A61M2025/1072 , A61N1/06 , A61N1/362 , A61N7/02
Abstract: An ablating device has a cover which holds an interface material such as a gel. The cover contains the interface material during initial placement of the device. The ablating device may also have a removable tip or a membrane filled with fluid. In still another aspect, the ablating device may be submerged in liquid during operation.
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