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    ABLATION CLAMP WITH MALLEABLE JAWS
    1.
    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。

    LEFT ATRIAL APPENDAGE TREATMENT SYSTEMS AND METHODS
    2.
    发明申请
    LEFT ATRIAL APPENDAGE TREATMENT SYSTEMS AND METHODS 有权
    左心室附件治疗系统和方法

    公开(公告)号：US20140303651A1

    公开(公告)日：2014-10-09

    申请号：US14244671

    申请日：2014-04-03

    申请人： ESTECH, Inc. (ENDOSCOPIC TECHNOLOGIES, INC.)

    发明人： Tamer Ibrahim ,  Dwight P. Morejohn

    IPC分类号： 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。

    CARDIAC TREATMENT DEVICES AND METHODS
    3.
    发明申请
    CARDIAC TREATMENT DEVICES AND METHODS 审中-公开
    心脏治疗装置和方法

    公开(公告)号：US20140012254A1

    公开(公告)日：2014-01-09

    申请号：US14024434

    申请日：2013-09-11

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

    发明人： Arthur A. Bertolero ,  Tamer Ibrahim ,  Daniel J. Conley

    IPC分类号： A61B18/14 ,  A61B18/18

    CPC分类号： A61B18/1492 ,  A61B1/12 ,  A61B18/14 ,  A61B18/1402 ,  A61B18/1442 ,  A61B18/1445 ,  A61B18/18 ,  A61B2017/00243 ,  A61B2017/22051 ,  A61B2017/2945 ,  A61B2018/00023 ,  A61B2018/00029 ,  A61B2018/00291 ,  A61B2018/00345 ,  A61B2018/00351 ,  A61B2018/00363 ,  A61B2018/00404 ,  A61B2018/00577 ,  A61B2018/00875 ,  A61B2018/00982 ,  A61B2018/126 ,  A61B2018/1432

    摘要： Devices and methods provide for ablation of cardiac tissue for treating cardiac arrhythmias such as atrial fibrillation. Although the devices and methods are often be used to ablate epicardial tissue in the vicinity of at least one pulmonary vein, various embodiments may be used to ablate other cardiac tissues in other locations on a heart. Devices generally include at least one tissue contacting member for contacting epicardial tissue and securing the ablation device to the epicardial tissue, and at least one ablation member for ablating the tissue. Various embodiments include features, such as suction apertures, which enable the device to attach to the epicardial surface with sufficient strength to allow the tissue to be stabilized via the device. For example, some embodiments may be used to stabilize a beating heart to enable a beating heart ablation procedure. Many of the devices may be introduced into a patient via minimally invasive introducer devices and the like. Although devices and methods of the invention may be used to ablate epicardial tissue to treat atrial fibrillation, they may also be used in veterinary or research contexts, to treat various heart conditions other than atrial fibrillation and/or to ablate cardiac tissue other than the epicardium.

    摘要翻译： 装置和方法提供用于治疗心律失常的心脏组织的消融，例如心房颤动。 虽然通常使用装置和方法来消融至少一个肺静脉附近的心外膜组织，但是可以使用各种实施例来消融心脏上其他位置的其他心脏组织。 装置通常包括用于接触心外膜组织并将消融装置固定到心外膜组织的至少一个组织接触构件以及用于烧蚀组织的至少一个消融构件。 各种实施例包括诸如抽吸孔的特征，其使得装置能够以足够的强度附着到心外膜表面，以允许组织通过装置稳定。 例如，一些实施例可用于稳定跳动心脏以实现搏动心脏消融手术。 可以通过微创导引器装置等将许多装置引入患者体内。 尽管本发明的装置和方法可用于消融心外膜组织以治疗房颤，但它们也可用于兽医学或研究领域，以治疗心房颤动以外的各种心脏病和/或除心外膜外的心脏组织 。

    METHODS AND DEVICES FOR CARDIAC SURGERY
    4.
    发明申请
    METHODS AND DEVICES FOR CARDIAC SURGERY 审中-公开
    心脏手术的方法和装置

    公开(公告)号：US20140005472A1

    公开(公告)日：2014-01-02

    申请号：US14016836

    申请日：2013-09-03

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

    发明人： Art Bertolero ,  Steve Geyster

    IPC分类号： A61B17/02

    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。

    APPARATUS FOR SECURING AN ELECTROPHYSIOLOGY PROBE TO A CLAMP
    6.
    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。

    LEFT ATRIAL APPENDAGE DEVICES AND METHODS
    7.
    发明申请
    LEFT ATRIAL APPENDAGE DEVICES AND METHODS 有权
    左边的附件设备和方法

    公开(公告)号：US20140012293A1

    公开(公告)日：2014-01-09

    申请号：US14021368

    申请日：2013-09-09

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

    发明人： Arthur A. Bertolero ,  Tamer Ibrahim ,  Steve Geyster

    IPC分类号： A61B17/08

    CPC分类号： A61B17/083 ,  A61B17/0057 ,  A61B17/068 ,  A61B17/08 ,  A61B17/122 ,  A61B17/1285 ,  A61B17/320016 ,  A61B2017/00243

    摘要： Devices and methods for clamping tissue and/or moving two tissue structures together by moving two plates or arm together. The pressure or force applied to the tissue may be used to bring the tissue together, to seal an opening or to cut through and remove a portion of the tissue. In one procedure disclosed, a clip applier may be used to apply one or more clips to the left atrial appendage of the heart to prevent clots from the left atrial appendage from embolizing and causing harm to the patient, such as a stroke.

    摘要翻译： 通过将两个板或臂一起移动来夹紧组织和/或移动两个组织结构在一起的装置和方法。 施加到组织的压力或力可以用于将组织带到一起，以密封开口或切割并去除组织的一部分。 在所公开的一个程序中，施夹器可用于将一个或多个夹子应用于心脏的左心耳，以防止左心耳附近的血栓栓塞并对患者造成伤害，例如中风。

    LEFT ATRIAL APPENDAGE DEVICES AND METHODS
    8.
    发明申请
    LEFT ATRIAL APPENDAGE DEVICES AND METHODS 审中-公开
    左边的附件设备和方法

    公开(公告)号：US20130237996A1

    公开(公告)日：2013-09-12

    申请号：US13861154

    申请日：2013-04-11

    申请人： ESTECH, INC. (ENDOSCOPIC TECHNOLOGIES, INC.)

    发明人： Arthur A. Bertolero ,  Tamer Ibrahim ,  Steve Geyster

    IPC分类号： A61B17/08 ,  A61B17/068

    CPC分类号： A61B17/083 ,  A61B17/0057 ,  A61B17/068 ,  A61B17/08 ,  A61B17/122 ,  A61B17/1285 ,  A61B17/320016 ,  A61B2017/00243

    摘要： Devices and methods for damping tissue and/or moving two tissue structures together by moving two plates or arm together. The pressure or force applied to the tissue may be used to bring the tissue together, to seal an opening or to cut through and remove a portion of the tissue. In one procedure disclosed, a clip applier may be used to apply one or more clips to the left atrial appendage of the heart to prevent dots from the left atrial appendage from embolizing and causing harm to the patient, such as a stroke.

    摘要翻译： 用于通过将两个板或臂一起移动来阻止组织和/或移动两个组织结构在一起的装置和方法。 施加到组织的压力或力可以用于将组织带到一起，以密封开口或切割并去除组织的一部分。 在所公开的一个程序中，夹子施加器可用于将一个或多个夹子应用于心脏的左心耳，以防止左心耳的点栓塞并对患者造成伤害，例如中风。

    Cardiac treatment devices and methods
    9.
    发明申请
    Cardiac treatment devices and methods 有权
    心脏治疗装置及方法

    公开(公告)号：US20040102771A1

    公开(公告)日：2004-05-27

    申请号：US10410618

    申请日：2003-04-08

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

    发明人： Art Bertolero ,  Tamer Ibrahim ,  Daniel J. Conley

    IPC分类号： A61B018/14

    CPC分类号： A61B18/1492 ,  A61B1/12 ,  A61B18/14 ,  A61B18/1402 ,  A61B18/1442 ,  A61B18/1445 ,  A61B18/18 ,  A61B2017/00243 ,  A61B2017/22051 ,  A61B2017/2945 ,  A61B2018/00023 ,  A61B2018/00029 ,  A61B2018/00291 ,  A61B2018/00345 ,  A61B2018/00351 ,  A61B2018/00363 ,  A61B2018/00404 ,  A61B2018/00577 ,  A61B2018/00875 ,  A61B2018/00982 ,  A61B2018/126 ,  A61B2018/1432

    摘要： Devices and methods provide for ablation of cardiac tissue for treating cardiac arrhythmias such as atrial fibrillation. Although the devices and methods are often be used to ablate epicardial tissue in the vicinity of at least one pulmonary vein, various embodiments may be used to ablate other cardiac tissues in other locations on a heart. Devices generally include at least one tissue contacting member for contacting epicardial tissue and securing the ablation device to the epicardial tissue, and at least one ablation member for ablating the tissue. Various embodiments include features, such as suction apertures, which enable the device to attach to the epicardial surface with sufficient strength to allow the tissue to be stabilized via the device. For example, some embodiments may be used to stabilize a beating heart to enable a beating heart ablation procedure. Many of the devices may be introduced into a patient via minimally invasive introducer devices and the like. Although devices and methods of the invention may be used to ablate epicardial tissue to treat atrial fibrillation, they may also be used in veterinary or research contexts, to treat various heart conditions other than atrial fibrillation and/or to ablate cardiac tissue other than the epicardium.

    摘要翻译： 装置和方法提供用于治疗心律失常的心脏组织的消融，例如心房颤动。 虽然通常使用装置和方法来消融至少一个肺静脉附近的心外膜组织，但是可以使用各种实施例来消融心脏上其他位置的其他心脏组织。 装置通常包括用于接触心外膜组织并将消融装置固定到心外膜组织的至少一个组织接触构件以及用于烧蚀组织的至少一个消融构件。 各种实施例包括诸如抽吸孔的特征，其使得装置能够以足够的强度附着到心外膜表面，以允许组织通过装置稳定。 例如，一些实施例可用于稳定跳动心脏以实现搏动心脏消融手术。 可以通过微创导引器装置等将许多装置引入患者体内。 尽管本发明的装置和方法可用于消融心外膜组织以治疗房颤，但它们也可用于兽医学或研究领域，以治疗心房颤动以外的各种心脏病和/或除心外膜外的心脏组织 。