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    Left atrial appendage treatment systems and methods
    2.
    发明授权
    Left atrial appendage treatment systems and methods 有权
    左心耳治疗系统和方法

    公开(公告)号：US08715302B2

    公开(公告)日：2014-05-06

    申请号：US13524891

    申请日：2012-06-15

    申请人： Tamer Ibrahim ,  Dwight P. Morejohn

    发明人： Tamer Ibrahim ,  Dwight P. Morejohn

    IPC分类号： A61B17/04 ,  A61B17/12

    CPC分类号： A61B17/12009 ,  A61B17/12013 ,  A61B2017/2923 ,  A61B2017/2927

    摘要： Embodiments of the present invention encompass systems and methods to prevent complications from atrial fibrillation by preventing or reducing the likelihood of blood flow out of the left atrial appendage, to eliminate a possible source of aberrant electrical circuits, or both. Accordingly, techniques are provided for delivering ligature loops or closure means to the left atrial appendage, and to other anatomical structures of a patient which may be desirable in other surgical procedures.

    摘要翻译： 本发明的实施方案包括通过预防或降低血液流出左心耳的可能性来消除心房颤动的并发症的系统和方法，以消除可能的异常电路源或两者。 因此，提供了用于将结扎环或闭合装置输送到左心耳的技术以及在其它外科手术中可能需要的患者的其他解剖结构。

    APPARATUS FOR SECURING AN ELECTROPHYSIOLOGY PROBE TO A CLAMP
    3.
    发明申请
    APPARATUS FOR SECURING AN ELECTROPHYSIOLOGY PROBE TO A CLAMP 失效
    用于保护电生理学探针到夹具的装置

    公开(公告)号：US20130116691A1

    公开(公告)日：2013-05-09

    申请号：US13686614

    申请日：2012-11-27

    申请人： ESTECH, Inc. (Endoscopic Technologies, Inc.)

    发明人： David K. Swanson

    IPC分类号： A61B18/14

    CPC分类号： A61B18/1482 ,  A61B18/1445 ,  A61B2017/00296 ,  A61B2017/2829 ,  A61B2017/2945 ,  A61B2018/00125 ,  A61B2018/00351 ,  A61B2018/00577 ,  A61B2018/1432

    摘要： An apparatus for use with a clamp including a base member configured to be secured to the clamp and at least one energy transmission device carried by the base member. An apparatus for use with a clamp and a probe that carries at least one energy transmission device including a base member configured to be secured to the clamp and an engagement device associated with the base member and configured to engage the probe. A clamp including first and second clamp members, at least one of which is malleable, and a movement apparatus that moves at least one of the first and second clamp members relative to the other. A surgical system including a clamp with first and second clamp members and a device that removably mounts at least one electrode on at least one of the first and second clamp members.

    摘要翻译： 一种用于夹具的装置，包括构造成固定到夹具的基部构件和由基底构件承载的至少一个能量传递装置。 一种用于夹持器和探针的装置，其携带至少一个能量传输装置，所述能量传输装置包括构造成固定到所述夹具的基部构件和与所述基座构件相关联并被构造成接合所述探针的接合装置。 一种夹具，其包括第一和第二夹紧构件，其至少一个是可延展的;以及移动装置，其相对于另一个移动第一和第二夹紧构件中的至少一个。 一种外科系统，包括具有第一和第二夹紧构件的夹具以及在至少一个第一和第二夹紧构件上可移除地安装至少一个电极的装置。

    CONDUCTION BLOCK SYSTEMS AND METHODS
    6.
    发明申请
    CONDUCTION BLOCK SYSTEMS AND METHODS 审中-公开
    导电块系统和方法

    公开(公告)号：US20090281541A1

    公开(公告)日：2009-11-12

    申请号：US12463760

    申请日：2009-05-11

    申请人： Tamer Ibrahim ,  David K. Swanson

    发明人： Tamer Ibrahim ,  David K. Swanson

    IPC分类号： A61B18/14

    CPC分类号： A61B18/1492 ,  A61B5/053 ,  A61B18/02 ,  A61B18/10 ,  A61B18/1445 ,  A61B18/18 ,  A61B18/20 ,  A61B2017/2945 ,  A61B2018/00005 ,  A61B2018/00291 ,  A61B2018/00357 ,  A61B2018/00375 ,  A61B2018/00577 ,  A61B2018/00642 ,  A61B2018/00702 ,  A61B2018/00791 ,  A61B2018/00797 ,  A61B2018/00821 ,  A61B2018/00839 ,  A61B2018/1432 ,  A61B2018/145 ,  A61B2018/1475 ,  A61B2090/065 ,  A61N7/022

    摘要： Tissue treatment systems for cardiac surgical procedures can include an ablation and monitoring assembly having a first ablation element, a second ablation element, and a monitoring mechanism. Treatment methods may involve placing an ablation and monitoring assembly of the tissue treatment system at a patient tissue treatment site, applying a first ablative energy to a first tissue location via the first ablation element and a second ablative energy to a second tissue location via the second ablation element, monitoring a condition of the first tissue location with the monitoring mechanism, and modulating application of the first ablative energy to the first tissue location in response to the condition of the first tissue location while maintaining application of the second ablative energy to the second tissue location. Embodiments also include techniques for assessing a conduction delay across a lesion that involve evaluating local activation rates on various sides of a lesion.

    摘要翻译： 用于心脏外科手术的组织治疗系统可以包括具有第一消融元件，第二消融元件和监视机构的消融和监视组件。 治疗方法可以包括将组织治疗系统的消融和监测组件放置在患者组织治疗部位，经由第一消融元件将第一消融能量施加到第一组织位置，并通过第二消融能量将第二消融能量施加到第二组织位置 消融元件，利用所述监测机构监测所述第一组织位置的状态，以及响应于所述第一组织位置的状况，将所述第一消融能量调整到所述第一组织位置，同时将所述第二消融能量施加到所述第二组织位置 组织位置。 实施例还包括用于评估跨越病变的传导延迟的技术，其涉及评估病变各侧的局部激活率。

    METHODS AND DEVICES FOR MINIMALLY INVASIVE CARDIAC SURGERY FOR ATRIAL FIBRILLATION
    7.
    发明申请
    METHODS AND DEVICES FOR MINIMALLY INVASIVE CARDIAC SURGERY FOR ATRIAL FIBRILLATION 有权
    用于急性心肌梗死的最小入路心脏手术的方法和装置

    公开(公告)号：US20090076537A1

    公开(公告)日：2009-03-19

    申请号：US12273938

    申请日：2008-11-19

    申请人： Arthur A. Bertolero

    发明人： Arthur A. Bertolero

    IPC分类号： A61M29/02 ,  A61B1/04

    CPC分类号： A61B1/12 ,  A61B5/04 ,  A61B18/14 ,  A61B2017/00243 ,  A61B2017/22051 ,  A61B2018/00351 ,  A61B2018/00982

    摘要： Devices for enhancing minimally invasive cardiac surgery include a visualization device including an inflatable balloon at or near the distal end. Some visualization devices also include one or more lumens for allowing the introduction of one or more devices to a surgical site through the visualization device. Systems of the invention involve a visualization device which has at least one lumen for allowing introduction of an ablation device and/or other devices. A visualization device with an inflatable balloon may be positioned to create a space between a heart and pericardium when the balloon is inflated.

    摘要翻译： 用于增强微创心脏手术的装置包括可视化装置，其包括在远端处或附近的可充气气囊。 一些可视化装置还包括用于允许通过可视化装置将一个或多个装置引入手术部位的一个或多个流明。 本发明的系统涉及一种可视化装置，其具有用于允许引入消融装置和/或其它装置的至少一个内腔。 具有可膨胀气囊的可视化装置可以被定位成在气囊膨胀时在心脏和心包之间产生空间。

    ABLATION CLAMP WITH MALLEABLE JAWS
    8.
    发明申请
    ABLATION CLAMP WITH MALLEABLE JAWS 有权
    坠落钳与。ABLE

    公开(公告)号：US20140214031A1

    公开(公告)日：2014-07-31

    申请号：US14083274

    申请日：2013-11-18

    申请人： ESTECH, Inc. (Endoscopic Technologies, Inc.)

    发明人： David K. Swanson

    IPC分类号： A61B18/14

    CPC分类号： A61B18/1482 ,  A61B18/1445 ,  A61B2017/00296 ,  A61B2017/2829 ,  A61B2017/2945 ,  A61B2018/00125 ,  A61B2018/00351 ,  A61B2018/00577 ,  A61B2018/1432

    摘要： An apparatus for use with a clamp including a base member configured to be secured to the clamp and at least one energy transmission device carried by the base member. An apparatus for use with a clamp and a probe that carries at least one energy transmission device including a base member configured to be secured to the clamp and an engagement device associated with the base member and configured to engage the probe. A clamp including first and second clamp members, at least one of which is malleable, and a movement apparatus that moves at least one of the first and second clamp members relative to the other. A surgical system including a clamp with first and second clamp members and a device that removably mounts at least one electrode on at least one of the first and second clamp members.

    摘要翻译： 一种用于夹具的装置，包括构造成固定到夹具的基部构件和由基底构件承载的至少一个能量传递装置。 一种用于夹持器和探针的装置，其携带至少一个能量传输装置，所述能量传输装置包括构造成固定到所述夹具的基部构件和与所述基座构件相关联并被构造成接合所述探针的接合装置。 一种夹具，其包括第一和第二夹紧构件，其至少一个是可延展的，以及移动装置，其相对于另一个移动第一和第二夹紧构件中的至少一个。 一种外科系统，包括具有第一和第二夹紧构件的夹具以及在至少一个第一和第二夹紧构件上可移除地安装至少一个电极的装置。

    Methods and devices for cardiac surgery
    9.
    发明授权
    Methods and devices for cardiac surgery 有权
    心脏手术的方法和装置

    公开(公告)号：US08523759B2

    公开(公告)日：2013-09-03

    申请号：US13325236

    申请日：2011-12-14

    申请人： Art Bertolero ,  Steve Geyster

    发明人： Art Bertolero ,  Steve Geyster

    IPC分类号： A61F2/00

    CPC分类号： A61B17/0218 ,  A61B2017/0243

    摘要： Methods for performing minimally invasive heart surgery include accessing a heart of a patient through a first incision on the left thorax of the patient, contacting the heart through the incision with a heart stabilizing device and/or a heart positioning device, introducing at least one coupling device through a second incision on the patient located apart from the first incision, coupling the coupling device with the heart stabilizing device or the heart positioning device, and performing a surgical procedure on the heart. Systems may include a retractor device, a heart stabilizing device, and a coupling device, for enhancing cardiac surgery. Any suitable heart surgery may be performed using methods, devices or systems of the present invention. In one embodiment, a CABG procedure is performed.

    摘要翻译： 用于进行微创心脏手术的方法包括通过患者的左胸部的第一切口进入患者的心脏，通过切口与心脏稳定装置和/或心脏定位装置接触心脏，引入至少一个联接器 装置通过位于离开第一切口的患者上的第二切口，将联接装置与心脏稳定装置或心脏定位装置联接，并且在心脏上执行外科手术。 系统可以包括用于增强心脏手术的牵开器装置，心脏稳定装置和联接装置。 可以使用本发明的方法，装置或系统来执行任何合适的心脏手术。 在一个实施例中，执行CABG过程。