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公开(公告)号:US07347858B2
公开(公告)日:2008-03-25
申请号:US10684628
申请日:2003-10-14
IPC分类号: A61B18/18
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。
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公开(公告)号:US07094235B2
公开(公告)日:2006-08-22
申请号:US10756437
申请日:2004-01-13
IPC分类号: A61B18/12
CPC分类号: A61B18/1445 , A61B18/1402 , A61B18/1442 , A61B2018/00994 , A61B2018/126 , A61B2018/1472
摘要: A method for ablation in which a portion of atrial tissue around the pulmonary veins of the heart is ablated by a first elongated ablation component and a second elongated ablation component movable relative to the first ablation component and having means for magnetically attracting the first and second components toward one another. The magnetic means draw the first and second components toward one another to compress the atrial tissue therebetween, along the length of the first and second components and thereby position the device for ablation of the tissue.
摘要翻译: 一种消融方法,其中通过第一细长消融部件消除心脏周围的肺静脉周围的一部分心房组织,并且第二细长消融部件可相对于第一消融部件移动并且具有用于磁吸引第一和第二部件的装置 朝向彼此 磁性装置沿着第一和第二部件的长度将第一和第二部件彼此拉伸以压缩其间的心房组织,从而定位用于组织消融的装置。
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公开(公告)号:US07029470B2
公开(公告)日:2006-04-18
申请号:US10685236
申请日:2003-10-14
申请人: David E. Francischelli , Eduardo N. Warman , Rahul Mehra , Mark T. Stewart , James R. Skarda , Harry Puryear , David Schwartzman
发明人: David E. Francischelli , Eduardo N. Warman , Rahul Mehra , Mark T. Stewart , James R. Skarda , Harry Puryear , David Schwartzman
CPC分类号: A61B18/1445 , A61B5/04 , A61B18/12 , A61B2018/00065 , A61B2018/00363 , A61B2018/00577 , A61B2018/00654 , A61B2018/00702 , A61B2018/00755 , A61B2018/00779 , A61B2018/00791 , A61B2018/00839 , A61B2018/00875 , A61B2018/1226 , A61B2018/1253 , A61B2018/126 , A61B2018/1467 , A61B2018/1472 , A61B2218/002 , A61N1/403
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 depolarization signal in a local electrogram taken using electrodes located adjacent the tissue to be ablated. Following onset of application of ablation energy to heart tissue, the local electrogram is measured with electrodes located adjacent tissue to be ablated so that the ablation energy to ablation elements can be selectively reduced or terminated when transmurality is detected.
摘要翻译: 用于创建病变并评估其完整性或透视性的系统和方法。 病变透壁度的评估是通过使用邻近待消融组织的电极拍摄的局部电描记图来监测去极化信号来实现的。 在开始将消融能量施加到心脏组织之后,用邻近待组织的组织的电极测量局部电描记图,以便当检测到透视时,消融元件的消融能量可被选择性地减少或终止。
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公开(公告)号:US06887238B2
公开(公告)日:2005-05-03
申请号:US10375612
申请日:2003-02-27
申请人: Scott E. Jahns , Greg P. Werness , Jon M. Ocel , David Lipson , Donald N. Jensen , David E. Francischelli , James R. Keogh
发明人: Scott E. Jahns , Greg P. Werness , Jon M. Ocel , David Lipson , Donald N. Jensen , David E. Francischelli , James R. Keogh
IPC分类号: A61B18/20 , A61B17/00 , A61B17/02 , A61B17/30 , A61B18/00 , A61B18/14 , A61N1/36 , A61B18/18
CPC分类号: A61B18/1492 , A61B18/1477 , A61B2017/00053 , A61B2017/00084 , A61B2017/00092 , A61B2017/00203 , A61B2017/00243 , A61B2017/00867 , A61B2017/0243 , A61B2017/306 , A61B2018/00011 , A61B2018/00291 , A61B2018/00363 , A61B2018/00577 , A61B2018/00809 , A61B2018/00839 , A61B2018/1425
摘要: A suction assisted ablation device having a support surface, suction elements disposed adjacent the support surface, at least one electrode and at least one suction conduit is provided. The device may further include fluid openings, which allow fluid to irrigate target tissue and aid in ablation. A method for ablating tissue using suction is also provided.
摘要翻译: 具有支撑表面的抽吸辅助消融装置,邻近支撑表面设置的抽吸元件,至少一个电极和至少一个吸入管道。 该装置还可以包括流体开口,其允许流体冲洗靶组织并有助于消融。 还提供了一种使用抽吸消融组织的方法。
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公开(公告)号:US06648883B2
公开(公告)日:2003-11-18
申请号:US10132379
申请日:2002-04-24
IPC分类号: A61B1818
CPC分类号: A61B18/1206 , A61B18/1445 , 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.
摘要翻译: 用于创建病变并评估其完整性或透视性的系统和方法。 通过监测要消融的组织的阻抗来评估病变的透壁性。 不是试图检测到期望的下降或期望的增加阻抗,而是响应于被测量的阻抗保持在稳定的电平,在期望的时间段(被称为阻抗平台)来检测损伤的完整性。 当邻近这些单独的电极或电极对的组织中的损伤完成时,用于确定邻近各个电极或对的损伤的透壁性的机制可用于使单个电极或电极对失活,以产生沿电极线或基本均匀的病变 电极对,而不管邻近各个电极或电极对的组织厚度的差异。
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公开(公告)号:US06558382B2
公开(公告)日:2003-05-06
申请号:US09843897
申请日:2001-04-26
申请人: Scott E. Jahns , Greg P. Werness , Jon M. Ocel , David Lipson , Donald N. Jensen , David E. Francischelli , James R. Keogh
发明人: Scott E. Jahns , Greg P. Werness , Jon M. Ocel , David Lipson , Donald N. Jensen , David E. Francischelli , James R. Keogh
IPC分类号: A61B1818
CPC分类号: A61B18/1492 , A61B18/1477 , A61B2017/00053 , A61B2017/00084 , A61B2017/00092 , A61B2017/00203 , A61B2017/00243 , A61B2017/00867 , A61B2017/0243 , A61B2017/306 , A61B2018/00011 , A61B2018/00291 , A61B2018/00363 , A61B2018/00577 , A61B2018/00809 , A61B2018/00839 , A61B2018/1425
摘要: A suction assisted ablation device having a support surface, suction elements disposed adjacent the support surface, at least one electrode and at least one suction conduit is provided. The device may further include fluid openings, which allow fluid to irrigate target tissue and aid in ablation. A method for ablating tissue using suction is also provided.
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公开(公告)号:US06488680B1
公开(公告)日:2002-12-03
申请号:US09558975
申请日:2000-04-27
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: A61B1818
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:US20140018791A1
公开(公告)日:2014-01-16
申请号:US14028676
申请日:2013-09-17
IPC分类号: A61B18/14
CPC分类号: A61B18/1492 , A61B2018/00357 , A61B2018/00577 , A61B2018/00678 , A61B2018/00702 , A61B2018/00875
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. A power applied to the tissue site can be reduced as a function of a rate of an increase 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根据阻抗增加的速率而减小。
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公开(公告)号:US20130072926A1
公开(公告)日:2013-03-21
申请号:US13585477
申请日:2012-08-14
IPC分类号: A61B18/12
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. A power applied to the tissue site can be reduced as a function of a rate of an increase 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根据阻抗增加的速率而减小。
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公开(公告)号:US08241275B2
公开(公告)日:2012-08-14
申请号:US13117690
申请日:2011-05-27
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. A power applied to the tissue site can be reduced as a function of a rate of an increase 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根据阻抗增加的速率而减小。
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