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    Device and method for needle-less interstitial injection of fluid for ablation of cardiac tissue
    61.
    发明授权
    Device and method for needle-less interstitial injection of fluid for ablation of cardiac tissue 失效
    用于无针头间质注射用于消融心脏组织的流体的装置和方法

    公开(公告)号：US07975703B2

    公开(公告)日：2011-07-12

    申请号：US11513561

    申请日：2006-08-31

    申请人： Scott E. Jahns

    发明人： Scott E. Jahns

    IPC分类号： A61B18/12

    CPC分类号： A61B18/14 ,  A61B17/3203 ,  A61B2017/00247 ,  A61B2018/00351 ,  A61B2018/00392 ,  A61B2018/00809 ,  A61B2018/1472

    摘要： Methods and apparatus for delivering precise amounts of fluid under pressure into cardiac tissue for the purpose of facilitating ablation of the tissue along a desired lesion line. One method injects fluid under pressure through a discharge orifice in a needle-less injection device. The injected fluid can be a cytotoxic fluid and/or a highly conductive fluid injected in conjunction with radio frequency ablation to create an ablative virtual electrode. The injected fluid can provide deeper and narrower conduction paths and resulting lesions. Radio frequency ablation can be performed at the same time as the fluid injection, using the injection device as an electrode, or subsequent to the fluid injection, using a separate device. In some methods, the injected fluid is a protective fluid, injected to protect tissue adjacent to the desired lesion line. Fluid delivery can be endocardial, epicardial, and epicardial on a beating heart. The present methods find one use in performing maze procedures to treat atrial fibrillation.

    摘要翻译： 用于在压力下将精确量的流体输送到心脏组织中以便于沿着期望的病变线消融组织的目的的方法和装置。 一种方法通过无针注射装置中的排放孔将压力下的流体注入流体。 注射的流体可以是与射频消融一起注射的细胞毒性流体和/或高度导电的流体，以产生消融的虚拟电极。 注入的流体可以提供更深和更窄的传导路径以及所导致的损伤。 射频消融可以在使用注射装置作为电极或者在流体注射之后使用单独的装置与流体注射同时进行。 在一些方法中，注射的流体是保护性流体，被注射以保护邻近所需病变线的组织。 流体输送可以是搏动心脏的心内膜，心外膜和心外膜。 本方法可用于进行迷宫手术来治疗房颤。

    Ablation system and method of use
    63.
    发明授权
    Ablation system and method of use 有权
    消融系统和使用方法

    公开(公告)号：US07250048B2

    公开(公告)日：2007-07-31

    申请号：US10923178

    申请日：2004-08-20

    申请人： David E. Francischelli ,  Scott E. Jahns

    发明人： David E. Francischelli ,  Scott E. Jahns

    IPC分类号： A61B18/18

    CPC分类号： A61B18/1206 ,  A61B18/14 ,  A61B18/1442 ,  A61B2017/00092 ,  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. Complete or partial submersion in a fluid of the ablating portion of the ablation device may be detected prior to, during or following an ablation procedure.

    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。 完全或部分浸没在消融装置的消融部分的流体中可以在消融过程之前，期间或之后检测。

    System, method and apparatus for regulating vacuum supplied to surgical tools
    64.
    发明授权
    System, method and apparatus for regulating vacuum supplied to surgical tools 失效
    用于调节提供给外科手术工具的真空的系统，方法和装置

    公开(公告)号：US07066882B2

    公开(公告)日：2006-06-27

    申请号：US10925387

    申请日：2004-08-25

    申请人： Scott E. Jahns ,  Glen Holmberg

    发明人： Scott E. Jahns ,  Glen Holmberg

    IPC分类号： A61B1/32

    CPC分类号： G05D16/2013 ,  A61B2017/00017 ,  A61B2017/00243 ,  A61B2017/0243 ,  A61B2017/306 ,  G05D16/10 ,  Y10S137/907 ,  Y10T137/7759 ,  Y10T137/7761

    摘要： A system, method and apparatus for regulating vacuum applied to surgical suction devices allowing the use of a single vacuum regulator and associated canister to provide vacuum to two suction devices, such as a suction stabilizer and a suction retractor. Vacuum controllers may be placed in the vacuum lines provided to each of two or more suction devices, or may be placed only in the vacuum line of the suction device believed most likely to detach during the procedure. Each vacuum controller is provided with a primary vacuum line, coupling its associated suction device to the output of the vacuum regulator and a pilot passage, also coupling the suction device to the vacuum regulator. The controller closes a valve in the main vacuum line in response to loss of vacuum attachment, which valve remains closed until attachment is reestablished. Closure of the valve results in substantial or complete blockage of the main vacuum line. The pilot passage, which may be part of the valve or a separate vacuum line, serves to allow reestablishment of vacuum attachment while the valve is closed. The pilot passage is configured so that airflow through the pilot passage is low enough that the other suction device or devices coupled to the vacuum regulator can still maintain vacuum attachment.

    摘要翻译： 一种用于调节施加到手术抽吸装置上的真空的系统，方法和装置，允许使用单个真空调节器和相关联的罐向两个抽吸装置（例如抽吸稳定器和抽吸牵开器）提供真空。 真空控制器可以放置在设置到两个或更多个抽吸装置中的每一个的真空管线中，或者可以仅放置在被认为最可能在该过程期间分离的抽吸装置的真空管线中。 每个真空控制器设置有一个初级真空管线，将其相关联的抽吸装置连接到真空调节器的输出端，以及一个先导通道，也将抽吸装置连接到真空调节器。 控制器响应于真空附件的损失而关闭主真空管线中的阀门，该阀门保持关闭，直到附件被重新建立。 阀的关闭导致主真空管线的实质或完全堵塞。 可以是阀门或单独的真空管线的一部分的先导通道用于允许在阀门关闭时重新建立真空附件。 引导通道被配置成使得通过导向通道的气流足够低，使得联接到真空调节器的另一个抽吸装置仍能保持真空附着。

    System, method and apparatus for regulating vacuum supplied to surgical tools
    67.
    发明授权
    System, method and apparatus for regulating vacuum supplied to surgical tools 失效
    用于调节提供给外科手术工具的真空的系统，方法和装置

    公开(公告)号：US06800058B2

    公开(公告)日：2004-10-05

    申请号：US10133010

    申请日：2002-04-26

    申请人： Scott E. Jahns ,  Glen Holmberg

    发明人： Scott E. Jahns ,  Glen Holmberg

    IPC分类号： A61B132

    CPC分类号： G05D16/2013 ,  A61B2017/00017 ,  A61B2017/00243 ,  A61B2017/0243 ,  A61B2017/306 ,  G05D16/10 ,  Y10S137/907 ,  Y10T137/7759 ,  Y10T137/7761

    摘要： A system, method and apparatus for regulating vacuum applied to surgical suction devices allowing the use of a single vacuum regulator and associated canister to provide vacuum to two suction devices, such as a suction stabilizer and a suction retractor. Vacuum controllers may be placed in the vacuum lines provided to each of two or more suction devices, or may be placed only in the vacuum line of the suction device believed most likely to detach during the procedure. Each vacuum controller is provided with a primary vacuum line, coupling its associated suction device to the output of the vacuum regulator and a pilot passage, also coupling the suction device to the vacuum regulator. The controller closes a valve in the main vacuum line in response to loss of vacuum attachment, which valve remains closed until attachment is reestablished. Closure of the valve results in substantial or complete blockage of the main vacuum line. The pilot passage, which may be part of the valve or a separate vacuum line, serves to allow reestablishment of vacuum attachment while the valve is closed. The pilot passage is configured so that airflow through the pilot passage is low enough that the other suction device or devices coupled to the vacuum regulator can still maintain vacuum attachment.

    摘要翻译： 一种用于调节施加到手术抽吸装置上的真空的系统，方法和装置，允许使用单个真空调节器和相关联的罐向两个抽吸装置（例如吸力稳定器和抽吸牵开器）提供真空。 真空控制器可以放置在设置到两个或更多个抽吸装置中的每一个的真空管线中，或者可以仅放置在被认为最可能在该过程期间分离的抽吸装置的真空管线中。 每个真空控制器设置有一个初级真空管线，将其相关联的抽吸装置连接到真空调节器的输出端，以及一个先导通道，也将抽吸装置连接到真空调节器。 控制器响应于真空附件的损失而关闭主真空管线中的阀门，该阀门保持关闭，直到附件被重新建立。 阀的关闭导致主真空管线的实质或完全堵塞。 可以是阀门或单独的真空管线的一部分的先导通道用于在阀门关闭时重新建立真空附件。 引导通道被配置成使得通过导向通道的气流足够低，使得联接到真空调节器的另一个抽吸装置仍能保持真空附着。

    TIBIAL NERVE STIMULATION
    69.
    发明申请
    TIBIAL NERVE STIMULATION 审中-公开
    TIBIAL神经刺激

    公开(公告)号：US20130268023A1

    公开(公告)日：2013-10-10

    申请号：US13991476

    申请日：2011-12-15

    申请人： Scott E. Jahns

    发明人： Scott E. Jahns

    IPC分类号： A61N1/372

    CPC分类号： A61N1/37223 ,  A61N1/36007 ,  A61N1/36057 ,  A61N1/37205 ,  A61N1/37229

    摘要： An implantable stimulation device comprises one or more electrodes, a receiving antenna coil, a transmitting antenna coil and a control circuit. The receiving antenna coil is in a first layer, the transmitting antenna coil is in a second layer and the control circuit is in a third layer between the first and second layers. The control circuit is configured to receive signals using the receiving antenna coil, transmit signals using the transmitting antenna coil, and deliver stimulation signals to the one or more electrodes. The receiving antenna coil, the transmitting antenna coil and the control circuit are contained in a hermetically sealed container.

    摘要翻译： 可植入刺激装置包括一个或多个电极，接收天线线圈，发射天线线圈和控制电路。 接收天线线圈处于第一层，发射天线线圈处于第二层，并且控制电路处于第一层和第二层之间的第三层。 控制电路被配置为使用接收天线线圈接收信号，使用发射天线线圈传输信号，并将刺激信号传送到一个或多个电极。 接收天线线圈，发射天线线圈和控制电路被包含在气密密封的容器中。