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    Pyloric valve obstructing devices and methods
    2.
    发明授权
    Pyloric valve obstructing devices and methods 有权
    幽门阀阻塞装置及方法

    公开(公告)号：US08663338B2

    公开(公告)日：2014-03-04

    申请号：US12351686

    申请日：2009-01-09

    申请人： Daniel Rogers Burnett ,  Gregory W. Hall ,  Roxanne Richman ,  David A. Gallup ,  Annette Campbell-White

    发明人： Daniel Rogers Burnett ,  Gregory W. Hall ,  Roxanne Richman ,  David A. Gallup ,  Annette Campbell-White

    IPC分类号： A61F2/02

    CPC分类号： A61B17/12022 ,  A61B5/036 ,  A61B5/073 ,  A61B5/14539 ,  A61B17/12036 ,  A61B17/12099 ,  A61B17/12136 ,  A61B17/12172 ,  A61B17/1219 ,  A61B2017/00004 ,  A61B2017/00557 ,  A61B2017/12054 ,  A61B2017/12086 ,  A61F5/003 ,  A61F5/0036 ,  A61F5/0079

    摘要： Methods, devices and systems facilitate intermittent and/or partial obstruction of a pyloric valve. Devices generally include a support portion for preventing the device from passing through the pyloric valve and a tissue engagement portion for contacting tissue adjacent the pyloric valve to obstruct the valve. Some embodiments also include a positioning member extending from the tissue engagement portion for helping position the device for obstructing the valve. A retaining member may optionally be included on the distal end of the positioning member for further maintaining a position of the device in the stomach. Some embodiments are deliverable into the stomach through the esophagus, either by swallowing or through a delivery tube or catheter. Some embodiments are fully reversible. Some embodiments self-expand within the stomach, while others are inflated or otherwise expanded.

    摘要翻译： 方法，装置和系统促进幽门阀的间歇性和/或局部阻塞。 装置通常包括用于防止装置通过幽门阀的支撑部分和用于接触幽门阀附近的组织以阻塞瓣膜的组织接合部分。 一些实施例还包括从组织接合部分延伸的定位构件，用于帮助定位用于阻塞阀的装置。 可以可选地将保持构件包括在定位构件的远端上，以进一步保持装置在胃中的位置。 一些实施例可通过吞咽或通过输送管或导管通过食道输送到胃中。 一些实施例是完全可逆的。 一些实施例在胃内自扩张，而另一些实施例被膨胀或以其他方式扩张。

    METHODS AND SYSTEMS FOR ABLATING TISSUE
    4.
    发明申请
    METHODS AND SYSTEMS FOR ABLATING TISSUE 审中-公开
    用于剥离组织的方法和系统

    公开(公告)号：US20130267875A1

    公开(公告)日：2013-10-10

    申请号：US13630750

    申请日：2012-09-28

    申请人： Hira V. THAPLIYAL ,  David A. GALLUP ,  James W. ARENSON ,  Robert BROMMER

    发明人： Hira V. THAPLIYAL ,  David A. GALLUP ,  James W. ARENSON ,  Robert BROMMER

    IPC分类号： A61B17/32

    CPC分类号： A61N7/022 ,  A61B2017/00053 ,  A61B2017/00092 ,  A61B2017/00106 ,  A61B2017/320069 ,  A61B2018/00029 ,  A61M25/0147 ,  A61M25/0152 ,  A61N2007/0091

    摘要： A tissue ablation system for treating fibrillation in a patient comprises a steerable interventional catheter having an energy source that emits a beam of energy to ablate tissue thereby creating a conduction block for aberrant electrical pathways. The system also includes a handle disposed near a proximal end of the interventional catheter and has an actuation mechanism for steering the interventional catheter. A console allows the system to be controlled and provides power to the system, and a display pod is electrically coupled with the console. The display pod has a display panel to display system information to a user and allows the user to control the system. A catheter pod is releasably coupled with the handle electrically and mechanically, and also electrically coupled with the display pod.

    摘要翻译： 用于治疗患者原纤维化的组织消融系统包括具有能量源的可引导介入​​导管，所述能量源发射能量束以消融组织，从而为异常电通路形成传导阻滞。 该系统还包括设置在介入导管的近端附近的手柄，并具有用于转导介入导管的致动机构。 控制台允许系统被控制并为系统提供电力，并且显示盒与控制台电耦合。 显示盒具有显示面板，用于向用户显示系统信息，并允许用户控制系统。 导管盒与手柄电气和机械可释放地联接，并且还与显示盒电耦合。

    SYSTEM AND METHOD FOR DELIVERY OF ENERGY TO TISSUE WHILE COMPENSATING FOR COLLATERAL TISSUE
    5.
    发明申请
    SYSTEM AND METHOD FOR DELIVERY OF ENERGY TO TISSUE WHILE COMPENSATING FOR COLLATERAL TISSUE 有权
    用于交付能量组合的系统和方法，用于巩膜组织

    公开(公告)号：US20130096594A1

    公开(公告)日：2013-04-18

    申请号：US13630727

    申请日：2012-09-28

    申请人： Hira V. Thapliyal ,  David A. Gallup ,  James W. Arenson

    发明人： Hira V. Thapliyal ,  David A. Gallup ,  James W. Arenson

    IPC分类号： A61N7/02

    CPC分类号： A61N7/022 ,  A61B5/0008 ,  A61B5/4893 ,  A61B8/08 ,  A61B90/98 ,  A61B2017/00106 ,  A61B2017/00243 ,  A61B2018/00005 ,  A61N2007/0026 ,  A61N2007/0078

    摘要： A tissue ablation method for treating atrial fibrillation in a patient comprises locating an ostium of a pulmonary vein and positioning an interventional catheter adjacent the ostium. The interventional catheter has an energy source. Collateral tissue adjacent the ostium is located and tissue around the ostium is ablated with energy from the energy source so as to form a contiguous lesion circumscribing the ostium. The lesion blocks aberrant electrical pathways in the tissue so as to reduce or eliminate the atrial fibrillation. The ablating is modified so as to avoid ablating or otherwise damaging the collateral tissue.

    摘要翻译： 用于治疗患者心房颤动的组织消融方法包括定位肺静脉的口，并将介入导管定位在邻近口处。 介入导管具有能量源。 定位邻近口的附近组织，并且能量来自能量的能量消除口周围的组织，以形成围绕口的连续病变。 病变阻止组织中的异常电通路，以减少或消除心房颤动。 烧蚀被修改以避免消融或以其他方式损伤侧支组织。

    SYSTEM AND METHOD FOR ENERGY DELIVERY TO TISSUE WHILE MONITORING POSITION, LESION DEPTH, AND WALL MOTION
    6.
    发明申请
    SYSTEM AND METHOD FOR ENERGY DELIVERY TO TISSUE WHILE MONITORING POSITION, LESION DEPTH, AND WALL MOTION 审中-公开
    在监测位置，距离深度和墙壁运动时能量输送组织的系统和方法

    公开(公告)号：US20130096593A1

    公开(公告)日：2013-04-18

    申请号：US13630697

    申请日：2012-09-28

    申请人： Hira V. THAPLIYAL ,  David A. GALLUP ,  James W. ARENSON

    发明人： Hira V. THAPLIYAL ,  David A. GALLUP ,  James W. ARENSON

    IPC分类号： A61N7/02

    CPC分类号： A61N7/00 ,  A61B8/12 ,  A61B2017/00084 ,  A61B2017/00092 ,  A61B2017/00106 ,  A61B2018/00029 ,  A61B2018/00642 ,  A61B2090/061 ,  A61N7/022 ,  A61N2007/0052 ,  A61N2007/0073 ,  A61N2007/0078

    摘要： Systems and methods for ablating tissue include an ablation device having an energy source and a sensor. The energy source provides a beam of energy directable to target tissue, and the sensor senses energy reflected back from the target tissue. The sensor collects various information from the target tissue in order to facilitate adjustment of ablation operating parameters, such as changing power or position of the energy beam. Gap distance between the energy source and target tissue, energy beam incident angle, tissue motion, tissue type, lesion depth, etc. are examples of some of the information that may be collected during the ablation process and used to help control ablation of the tissue.

    摘要翻译： 用于烧蚀组织的系统和方法包括具有能量源和传感器的消融装置。 能量源提供可瞄准组织的能量束，并且传感器感测从目标组织反射的能量。 传感器从目标组织收集各种信息，以便于调整消融操作参数，例如改变能量束的功率或位置。 能量源和目标组织之间的间隙距离，能量束入射角，组织运动，组织类型，损伤深度等是可以在消融过程期间收集的并且用于帮助控制组织消融的一些信息的示例 。

    METHOD FOR ABLATING BODY TISSUE
    8.
    发明申请
    METHOD FOR ABLATING BODY TISSUE 有权
    烧伤身体组织的方法

    公开(公告)号：US20120157984A1

    公开(公告)日：2012-06-21

    申请号：US13405712

    申请日：2012-02-27

    申请人： Hira V. Thapliyal ,  David A. Gallup ,  James W. Arenson

    发明人： Hira V. Thapliyal ,  David A. Gallup ,  James W. Arenson

    IPC分类号： A61N7/02

    CPC分类号： A61B17/320068 ,  A61B17/2202 ,  A61B18/1492 ,  A61B18/24 ,  A61B2017/00106 ,  A61B2017/00243 ,  A61B2017/003 ,  A61B2017/22024 ,  A61B2018/00029 ,  A61N7/02 ,  A61N7/022 ,  A61N2007/0078

    摘要： A tissue ablation system for treating fibrillation in a patient comprises a steerable interventional catheter having an energy source that emits a beam of energy to ablate tissue thereby creating a conduction block for aberrant electrical pathways. The system also includes a handle disposed near a proximal end of the interventional catheter and has an actuation mechanism for steering the interventional catheter. A console allows the system to be controlled and provides power to the system, and a display pod is electrically coupled with the console. The display pod has a display panel to display system information to a user and allows the user to control the system. A catheter pod is releasably coupled with the handle electrically and mechanically, and also electrically coupled with the display pod.

    摘要翻译： 用于治疗患者原纤维化的组织消融系统包括具有能量源的可引导介入​​导管，所述能量源发射能量束以消融组织，从而为异常电通路形成传导阻滞。 该系统还包括设置在介入导管的近端附近的手柄，并具有用于转导介入导管的致动机构。 控制台允许系统被控制并为系统提供电力，并且显示盒与控制台电耦合。 显示盒具有显示面板，用于向用户显示系统信息，并允许用户控制系统。 导管盒与手柄电气和机械可释放地联接，并且还与显示盒电耦合。

    SYSTEM AND METHOD FOR ULTRASONICALLY SENSING AND ABLATING TISSUE
    10.
    发明申请
    SYSTEM AND METHOD FOR ULTRASONICALLY SENSING AND ABLATING TISSUE 审中-公开
    用于超声波感染和组织剥离的系统和方法

    公开(公告)号：US20100198065A1

    公开(公告)日：2010-08-05

    申请号：US12695857

    申请日：2010-01-28

    申请人： Hira V. Thapliyal ,  David A. Gallup ,  James A. Arenson

    发明人： Hira V. Thapliyal ,  David A. Gallup ,  James A. Arenson

    IPC分类号： A61N7/00 ,  A61B8/14

    CPC分类号： A61N7/022 ,  A61B8/085 ,  A61B8/0883 ,  A61B8/12 ,  A61B8/14 ,  A61B8/4483 ,  A61B8/483 ,  A61B8/5207 ,  A61B8/54 ,  A61B8/543 ,  A61B2018/00351 ,  A61B2018/00357 ,  A61B2018/00375 ,  A61B2018/00577 ,  A61B2090/3782 ,  A61N2007/0052

    摘要： Echo-anatomically mapping tissue includes advancing a catheter having an ultrasound transducer toward tissue. A console adjacent the proximal end of the catheter controls catheter movement, and the ultrasound transducer senses tissue. First and second regions of the tissue are ultrasonically sensed while moving the ultrasound transducer along first, and second sensing patterns, respectively. A first 3-dimensional surface map of the first region, and a second 3-dimensional surface map of the second region are generated. The 3-dimensional surface maps are combined to form a combined surface map. Anatomical features may be identified in the first or second sensed regions. The tissue may be ultrasonically ablated while moving the ultrasound transducer along a first ablation path. The first ablation path may form a lesion around the identified anatomical features, and may be selected from a catalog of ablation paths or it may be prescribed by a physician.

    摘要翻译： 回波解剖学上的构图包括将具有超声换能器的导管朝向组织推进。 邻近导管近端的控制器控制导管移动，并且超声换能器感测组织。 超声波检测组织的第一和第二区域，同时分别沿着第一感测图案和第二感测图案移动超声波换能器。 产生第一区域的第一3维表面图和第二区域的第二3维表面图。 组合三维表面图形成组合表面图。 可以在第一或第二感测区域中识别解剖特征。 在沿着第一消融路径移动超声波换能器的同时，可以对组织进行超声波消融。 第一消融路径可以在所识别的解剖特征周围形成损伤，并且可以从消融路径的目录中选择，或者可以由医师处方。