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公开(公告)号:US10583272B2
公开(公告)日:2020-03-10
申请号:US15829202
申请日:2017-12-01
Inventor: Alex Yu , Stephen W. Evans , Genevieve L. Gallagher , Troy T. Tegg
IPC: A61M25/01
Abstract: Catheter shaft handles and deflection actuators are disclosed. The actuators include at least one pull wire guide wall and a means for anchoring the proximal portion of a pull wire or of a fiber attached to a pull wire. Each actuator is pivotable relative to the catheter handle housing, and may comprise at least one boss for pivoting the actuator relative to the catheter handle housing. The actuators transfer rotational motion based upon user input on a boss into longitudinal motion of a pull wire. The actuators may include a tensioning mechanism comprising a tension adjustment pin and a pin block, wherein the tension adjustment pin is rotatably attached to the pin block to enable adjustment of tension in a pull wire (e.g., during assembly of the catheter handle).
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公开(公告)号:US10335574B2
公开(公告)日:2019-07-02
申请号:US15723413
申请日:2017-10-03
Inventor: Troy T. Tegg , Saurav Paul
Abstract: A catheter system including an accelerometer-based sensing assembly is provided. In particular the present teachings relate to an accelerometer based assembly used to determine contact between a catheter and surrounding proximate tissue, such as cardiac tissue. An embodiment of such a system may, for example, be used for visualization, mapping, ablation, or other methods of diagnosis and treatment of tissue and/or surrounding areas.
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公开(公告)号:US20180154129A1
公开(公告)日:2018-06-07
申请号:US15821740
申请日:2017-11-22
Inventor: Saurav Paul , Troy T. Tegg , Reed R. Heimbecher , Richard E. Stehr , Riki Chou Thao
CPC classification number: A61M39/10 , A61B5/0084 , A61B5/042 , A61B5/061 , A61B5/065 , A61B5/1076 , A61B5/6852 , A61B5/6885 , A61B18/1492 , A61B18/24 , A61B2017/00057 , A61B2017/00084 , A61B2090/065 , A61M25/0043 , A61M25/0068 , A61M25/0069 , A61M25/007 , A61M25/0071 , A61M25/0074 , A61M25/01 , A61M25/0138 , A61M25/0141 , A61M2025/0002 , A61M2025/0166
Abstract: A contact sensing assembly including a catheter and an electrode including a tip portion and a base portion, and a generally central axis, with the electrode being connected to a distal end of the catheter. Optical sensor(s) may be provided for emitting and/or receiving an optical signal, with a part of the optical signal being transverse to the central axis. Optical interference member(s) may be provided for interfering with the optical signal. A method for sensing contact force exerted by an electrode on a tissue includes directing an optical signal along a portion of a catheter, emitting and/or receiving an optical signal, with a part of the optical signal being at a predetermined angle relative to the central axis, and sensing changes in intensity of the optical signal based on displacement associated with the electrode tip portion based on the contact force exerted by the electrode on the tissue.
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公开(公告)号:US20170312553A1
公开(公告)日:2017-11-02
申请号:US15592286
申请日:2017-05-11
Inventor: Saurav Paul , Troy T. Tegg , Reed R. Heimbecher
CPC classification number: A61N7/022 , A61B8/0883 , A61B8/12 , A61B8/445 , A61B8/4494 , A61B2017/00106
Abstract: Acoustic coupling systems and methods are disclosed as these can be used for assessment and ablation procedures. An exemplary acoustic assessment system for a catheter may comprise a flexible catheter shaft. At least one acoustic transducer is positioned in the flexible catheter shaft. The at least one acoustic transducer emits a generated acoustic signal for reflection by adjacent tissue. The at least one acoustic transducer receives a reflected acoustic signal from the adjacent tissue and generates electrical signals corresponding to one or more property of the tissue. An output device is electrically connected to the at least one acoustic transducer. The output device receives the electrical signals and generate output for a user for assessing the tissue.
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公开(公告)号:US09204928B2
公开(公告)日:2015-12-08
申请号:US13961435
申请日:2013-08-07
Inventor: Arthur G. Erdman , Saurav Paul , Troy T. Tegg
IPC: A61M25/00 , A61B18/14 , A61B5/00 , A61M25/01 , A61B5/06 , A61B5/107 , A61M39/10 , A61B18/24 , A61B17/00 , A61B19/00
CPC classification number: A61M39/10 , A61B5/0084 , A61B5/065 , A61B5/1076 , A61B5/6852 , A61B5/6885 , A61B18/1492 , A61B18/24 , A61B2017/00057 , A61B2017/00084 , A61B2090/065 , A61M25/0043 , A61M25/0068 , A61M25/0069 , A61M25/007 , A61M25/0071 , A61M25/0074 , A61M25/01 , A61M25/0138 , A61M25/0141 , A61M2025/0002
Abstract: Coupler assemblies and methods are disclosed as the coupler assemblies may be used with a catheter. An exemplary coupler assembly includes a spherical linkage coupler for a catheter. The coupler comprises a first cylinder portion for connecting to a structure, and a second cylinder portion for connecting to a distal end of a body of the catheter. The coupler also comprises a spherical linkage including at least two link arms. Each of the two link arms are connected on one end to the first cylinder portion and on the other end to the second cylinder portion. The two link arms connect a portion of the structure to the distal end of the catheter and enable the structure to move relative to the distal end of the catheter in response to an external force exerted on the structure.
Abstract translation: 公开了耦合器组件和方法,因为耦合器组件可以与导管一起使用。 示例性联接器组件包括用于导管的球形联动联接器。 联接器包括用于连接到结构的第一气缸部分和用于连接到导管主体的远端的第二气缸部分。 耦合器还包括包括至少两个连杆臂的球形连杆。 两个连杆臂中的每一个在一端连接到第一气缸部分,另一端连接到第二气缸部分。 两个连杆臂将结构的一部分连接到导管的远端,并使结构能够响应于施加在结构上的外力而相对于导管的远端移动。
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公开(公告)号:US20150289932A1
公开(公告)日:2015-10-15
申请号:US14692254
申请日:2015-04-21
Inventor: Troy T. Tegg , James V. Kauphusman
CPC classification number: A61B18/1492 , A61B5/0422 , A61B5/062 , A61B5/6852 , A61B34/20 , A61B34/70 , A61B34/73 , A61B2018/00011 , A61B2018/00029 , A61B2018/00577 , A61B2034/2051 , A61B2218/002 , A61M25/0127 , A61M25/0158 , A61M2025/0166 , Y10T29/49117
Abstract: A magnetically-guided catheter includes a tip positioning magnet in the distal electrode assembly configured to interact with externally applied magnetic fields for magnetically-guided movement. A magnetically-guided mapping catheter includes an electrically-conductive capsule in the form of a casing that includes a distal ablation surface and isolates the positioning magnet from bio-fluids to prevent corrosion. An open irrigation ablation catheter includes an isolated manifold that isolates the positioning magnet from contact with irrigation fluid to prevent corrosion.
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公开(公告)号:US20150107766A1
公开(公告)日:2015-04-23
申请号:US14519313
申请日:2014-10-21
Inventor: Troy T. Tegg , Brian M. Monahan , Salome A. Gonzalez , James V. Kauphusman , Sacha C. Hall
CPC classification number: A61B19/5244 , A61B5/062 , A61B5/063 , A61B5/065 , A61B5/068 , A61B34/20 , A61B2017/00526 , A61B2017/00867 , A61B2034/2051 , A61B2562/0223 , A61M25/001 , A61M25/0012 , A61M25/0127 , A61M2025/0166 , A61M2207/00 , Y10T156/10
Abstract: A distal tip assembly for an elongate medical device having an axis comprises a shaft having a proximal end portion, a distal end portion, a wall, and a central lumen extending axially between said proximal end portion and said distal end portion. The distal tip assembly further comprises a position sensor disposed in an outer sleeve such that the sensor can shift relative to the sleeve. The sleeve is disposed at least in part in the wall and is substantially fixed thereto.
Abstract translation: 用于具有轴线的细长医疗装置的远侧末梢组件包括具有近端部分,远端部分,壁和在所述近端部分和所述远端部分之间轴向延伸的中心腔的轴。 远侧末端组件还包括设置在外部套筒中的位置传感器,使得传感器可以相对于套筒移动。 套筒至少部分地设置在壁上并且基本上固定在其上。
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公开(公告)号:US20140276222A1
公开(公告)日:2014-09-18
申请号:US13840176
申请日:2013-03-15
Inventor: Troy T. Tegg
IPC: A61M25/09
CPC classification number: A61M25/0136 , A61B18/1492 , A61B2018/00357 , A61B2018/00577 , A61B2018/00839 , A61M25/0147
Abstract: Catheter actuators providing a mechanical advantage are disclosed. The actuators include a pull wire arm guide plate and a drive wheel attached around the pull wire arm guide plate and pivotable relative to the guide plate, the drive wheel comprising at least one thumb boss for pivoting the drive wheel about a drive wheel axis of rotation. The drive wheel mechanically engages at least one pull wire arm slidably mounted in a pull wire arm channel in the pull wire arm guide plate. A mechanism transfers drive wheel input into longitudinal motion of the at least one pull wire arm. The mechanism may include, for example, a pin pushing against a bendable pushing member riding in an arcuate pin groove in a top surface of the guide plate, or a pin pushing against a surface of a cam arm pivotably mounted on the top surface of the guide plate.
Abstract translation: 公开了提供机械优点的导管致动器。 致动器包括拉线臂引导板和围绕拉线臂引导板并且可相对于引导板枢转的驱动轮,驱动轮包括至少一个拇指凸台,用于围绕驱动轮旋转轴线枢转驱动轮 。 驱动轮机械地接合至少一个拉线臂,其可滑动地安装在拉线臂引导板中的拉线臂通道中。 机构将驱动轮输入传送到至少一个拉线臂的纵向运动。 该机构可以包括例如销在推动导向板的顶表面中的弓形销槽中的可弯曲推动构件上的销,或者推动可枢转地安装在导向板的顶表面上的凸轮臂的表面的销 导板。
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公开(公告)号:US20140094768A1
公开(公告)日:2014-04-03
申请号:US14017836
申请日:2013-09-04
Inventor: Todd R. Stangenes , Saurav Paul , James V. Kauphusman , Troy T. Tegg , Jeffrey A. Schweitzer
IPC: A61M25/01
CPC classification number: A61M25/0127 , A61B5/0422 , A61B5/055 , A61B5/062 , A61B5/6857 , A61B6/12 , A61B6/487 , A61B18/1492 , A61B34/32 , A61B34/73 , A61B2018/00375 , A61B2018/00577 , A61B2018/00791 , A61B2034/301 , A61B2034/303 , A61B2034/731 , A61B2034/732 , A61B2562/0271 , A61M25/0158
Abstract: A catheter is disclosed having a flexible tubing with a proximal end and a distal end. The catheter comprising at least one movable magnet provided within the distal end of the flexible tubing. A control mechanism is operable to selectively activate the at least one movable magnet from the proximal end of the flexible tubing. The at least one movable magnet is responsive to an external magnetic field to position and guide the distal end of the flexible tubing within a body of a patient.
Abstract translation: 公开了一种具有近端和远端的柔性管的导管。 导管包括设置在柔性管的远端内的至少一个可动磁体。 控制机构可操作以从柔性管的近端选择性地启动至少一个可动磁体。 所述至少一个可移动磁体响应外部磁场来定位和引导患者体内的柔性管的远端。
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公开(公告)号:US20240390671A1
公开(公告)日:2024-11-28
申请号:US18795674
申请日:2024-08-06
Inventor: Saurav Paul , Troy T. Tegg , Israel A. Byrd , Riki Thao , Harry A. Puryear , Linda Nemec
Abstract: Catheter systems include direction-sensitive, multi-polar tip electrode assemblies for electroporation-mediated therapy, electroporation-induced primary necrosis therapy and electric field-induced apoptosis therapy, including configurations for producing narrow, linear lesions as well as distributed, wide area lesions. A monitoring system for electroporation therapy includes a mechanism for delivering electrochromic dyes to a tissue site as well as a fiber optic arrangement to optically monitor the progress of the therapy as well as to confirm success post-therapy. A fiber optic temperature sensing electrode catheter includes a tip electrode having a cavity whose inner surface is impregnated or coated with thermochromic/thermotropic material that changes color with changes in temperature. An optic fiber/detector arrangement monitors the thermochromic or thermotropic materials, acquiring a light signal and generating an output signal indicative of the spectrum of the light signal. An analyzer determines an electrode temperature based on the detector output and predetermined spectrum versus temperature calibration data.
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