公开(公告)号：US09566107B2

公开(公告)日：2017-02-14

申请号：US12428173

申请日：2009-04-22

申请人： Gleb V. Klimovitch

发明人： Gleb V. Klimovitch

IPC分类号： A61B18/00 ,  A61B18/14

CPC分类号： A61B18/1447 ,  A61B18/1442 ,  A61B2018/00577 ,  A61B2018/00642 ,  A61B2018/00666 ,  A61B2018/00708 ,  A61B2018/00875 ,  A61B2018/126 ,  A61B2018/1467

摘要： A method of ablating a tissue site includes at least two stages. A first stage involves conducting bipolar ablation between a first pair of electrodes situated in an opposing arrangement on opposing sides of the tissue site to form a pair of opposing first stage ablation regions extending from respective sides of the tissue towards the center. A second stage involves conducting bipolar ablation between a second pair of electrodes situated in a diametrical arrangement with respect to the first stage ablation regions, which forms a second stage ablation region intermediate the pair of first stage ablation regions. The second stage completes the ablation through the entire depth of the tissue site. Since the overall process can accommodate incomplete ablation during the first stage, lower power, reduced ablation times or both may be used during the first stage, avoiding overheating and with a decrease in ablated tissue volume.

摘要翻译： 消融组织部位的方法包括至少两个阶段。 第一阶段包括在位于组织部位的相对侧上的相对布置中的第一对电极之间进行双极烧蚀，以形成从组织的相应侧向中心延伸的一对相对的第一阶段烧蚀区域。 第二阶段涉及在相对于第一阶段烧蚀区域位于直径布置的第二对电极之间进行双极烧蚀，其形成第一级烧蚀区域中间的第二级烧蚀区域。 第二阶段通过组织部位的整个深度完成消融。 由于整个过程可以适应第一阶段的不完全消融，所以可以在第一阶段期间使用较低的功率，减少的消融时间或两者，从而避免过热并且消融的组织体积减少。

公开(公告)号：US20120259327A1

公开(公告)日：2012-10-11

申请号：US13481172

申请日：2012-05-25

申请人： Gleb V. KLIMOVITCH ,  Timothy E. CICIARELLI ,  Shena H. PARK

发明人： Gleb V. KLIMOVITCH ,  Timothy E. CICIARELLI ,  Shena H. PARK

IPC分类号： A61B18/00

CPC分类号： A61B18/1206 ,  A61B18/1492 ,  A61B2018/00363 ,  A61B2018/00577 ,  A61B2018/00702 ,  A61B2018/00767 ,  A61B2018/00791 ,  A61B2018/00797 ,  A61B2018/00815

摘要： A system and method for using a common subchannel to assess operating characteristics of one of a plurality of transducers coupled to said subchannel is disclosed. The of transducers are divided into subsets, with each subset is coupled to a subchannel. The system is configured to activate a selected transducer on the subchannel and the subchannel delivers operational information on the activated transducer. The present invention reduces the number of subchannels required to collect information on the plurality of transducers. The present invention permits a more compact ablation device to be constructed based on the invention's ability to reduce the total number of subchannels required to collect transducer information.

摘要翻译： 公开了一种用于使用公共子信道来评估耦合到所述子信道的多个换能器中的一个的操作特性的系统和方法。 换能器被分成子集，每个子​​集耦合到一个子信道。 该系统被配置为激活子信道上的所选换能器，并且子通道在激活的换能器上传送操作信息。 本发明减少了在多个换能器上收集信息所需的子信道的数量。 本发明允许基于本发明减少收集换能器信息所需的子通道总数的能力来构建更紧凑的消融装置。

公开(公告)号：US20090163909A1

公开(公告)日：2009-06-25

申请号：US11961483

申请日：2007-12-20

申请人： Zhenyi Ma ,  Gleb V. Klimovitch ,  John W. Sliwa

发明人： Zhenyi Ma ,  Gleb V. Klimovitch ,  John W. Sliwa

IPC分类号： A61B18/14

CPC分类号： A61B18/14 ,  A61B18/1492 ,  A61B2018/00023 ,  A61B2018/0016 ,  A61B2018/00351 ,  A61B2018/00363 ,  A61B2018/00577 ,  A61B2018/141 ,  A61B2018/1467 ,  A61N7/022

摘要： A medical device comprising a cell including an ablation element and a carrier configured to receive at least a portion of said ablation element is disclosed. The medical device further comprises a tube enclosing the cell. At least a portion of the tube includes a membrane and the tube includes at least one hole proximate the ablation element for facilitating fluid flow. The medical device further comprises a fluid inlet for providing fluid to the interior of the tube. A method of using the medical device is also disclosed.

摘要翻译： 公开了一种医疗设备，其包括包括消融元件和被配置为接收所述消融元件的至少一部分的载体的电池。 医疗装置还包括封闭电池的管。 管的至少一部分包括膜，并且管包括靠近消融元件的至少一个孔，以便于流体流动。 医疗装置还包括用于向管内部提供流体的流体入口。 还公开了使用该医疗装置的方法。

公开(公告)号：US08551087B2

公开(公告)日：2013-10-08

申请号：US13593161

申请日：2012-08-23

申请人： Zhenyi Ma ,  Gleb V. Klimovitch ,  John W. Sliwa

发明人： Zhenyi Ma ,  Gleb V. Klimovitch ,  John W. Sliwa

IPC分类号： A61B18/14

CPC分类号： A61B18/14 ,  A61B18/1492 ,  A61B2018/00023 ,  A61B2018/0016 ,  A61B2018/00351 ,  A61B2018/00363 ,  A61B2018/00577 ,  A61B2018/141 ,  A61B2018/1467 ,  A61N7/022

摘要： A medical device comprising a cell including an ablation element and a carrier configured to receive at least a portion of said ablation element is disclosed. The medical device further comprises a tube enclosing the cell. At least a portion of the tube includes a membrane and the tube includes at least one hole proximate the ablation element for facilitating fluid flow. The medical device further comprises a fluid inlet for providing fluid to the interior of the tube. A method of using the medical device is also disclosed.

摘要翻译： 公开了一种医疗设备，其包括包括消融元件和被配置为接收所述消融元件的至少一部分的载体的电池。 医疗装置还包括封闭电池的管。 管的至少一部分包括膜，并且管包括靠近消融元件的至少一个孔，以便于流体流动。 医疗装置还包括用于向管内部提供流体的流体入口。 还公开了使用该医疗装置的方法。

公开(公告)号：US08186877B2

公开(公告)日：2012-05-29

申请号：US11967217

申请日：2007-12-30

申请人： Gleb V. Klimovitch ,  Timothy E. Ciciarelli ,  Shena H. Park

发明人： Gleb V. Klimovitch ,  Timothy E. Ciciarelli ,  Shena H. Park

IPC分类号： G01K7/00

CPC分类号： A61B18/1206 ,  A61B18/1492 ,  A61B2018/00363 ,  A61B2018/00577 ,  A61B2018/00702 ,  A61B2018/00767 ,  A61B2018/00791 ,  A61B2018/00797 ,  A61B2018/00815

摘要： A system and method for using a common subchannel to assess operating characteristics of one of a plurality of transducers that are coupled to said subchannel is disclosed. The plurality of transducers are divided into subsets and each subset is coupled to a subchannel. The system is configured to activate a selected transducer on the subchannel and the subchannel delivers operational information on the activated transducer. The present invention reduces the number of subchannels required to collect information on the plurality of transducers. The present invention may utilize one or more loading conditions to take at least one measurement, which at least one measurement is then used to derive operational information on the transducer. In one configuration, information on the amount of energy being delivered to the transducer is collected simultaneously with information on the operating temperature. In another embodiment only the temperature is measured. The present invention permits a more compact ablation device to be constructed based on the invention's ability to reduce the total number of subchannels required to collect transducer information.

摘要翻译： 公开了一种用于使用公共子信道来评估耦合到所述子信道的多个换能器之一的操作特性的系统和方法。 多个换能器被划分为子集，并且每个子集耦合到子信道。 该系统被配置为激活子信道上的所选换能器，并且子通道在激活的换能器上传送操作信息。 本发明减少了在多个换能器上收集信息所需的子信道的数量。 本发明可以利用一个或多个负载条件进行至少一个测量，然后使用至少一个测量来导出换能器上的操作信息。 在一个配置中，关于传送到换能器的能量的信息与关于工作温度的信息同时收集。 在另一个实施例中，仅测量温度。 本发明允许基于本发明减少收集换能器信息所需的子通道总数的能力来构建更紧凑的消融装置。

公开(公告)号：US08267930B2

公开(公告)日：2012-09-18

申请号：US11961483

申请日：2007-12-20

申请人： Zhenyi Ma ,  Gleb V. Klimovitch ,  John W. Sliwa

发明人： Zhenyi Ma ,  Gleb V. Klimovitch ,  John W. Sliwa

IPC分类号： A61B18/14

CPC分类号： A61B18/14 ,  A61B18/1492 ,  A61B2018/00023 ,  A61B2018/0016 ,  A61B2018/00351 ,  A61B2018/00363 ,  A61B2018/00577 ,  A61B2018/141 ,  A61B2018/1467 ,  A61N7/022

摘要： A medical device comprising a cell including an ablation element and a carrier configured to receive at least a portion of said ablation element is disclosed. The medical device further comprises a tube enclosing the cell. At least a portion of the tube includes a membrane and the tube includes at least one hole proximate the ablation element for facilitating fluid flow. The medical device further comprises a fluid inlet for providing fluid to the interior of the tube. A method of using the medical device is also disclosed.

摘要翻译： 公开了一种医疗设备，其包括包括消融元件和被配置为接收所述消融元件的至少一部分的载体的电池。 医疗装置还包括封闭电池的管。 管的至少一部分包括膜，并且管包括靠近消融元件的至少一个孔，以便于流体流动。 医疗装置还包括用于向管内部提供流体的流体入口。 还公开了使用该医疗装置的方法。

公开(公告)号：US20110291736A1

公开(公告)日：2011-12-01

申请号：US13206259

申请日：2011-08-09

申请人： Gleb V. Klimovitch ,  Timothy E. Ciciarelli ,  Shena H. Park

发明人： Gleb V. Klimovitch ,  Timothy E. Ciciarelli ,  Shena H. Park

IPC分类号： H03K17/00

CPC分类号： A61B18/1492 ,  A61B18/1206 ,  A61B2018/00351 ,  A61B2018/00577 ,  A61B2018/00702 ,  A61B2018/00791 ,  A61B2018/00916 ,  A61B2018/124 ,  A61B2018/1823 ,  A61B2018/1861 ,  A61N7/02

摘要： Embodiments of the invention controlling power distribution in an ablation control apparatus or the like. In one embodiment, a power switching apparatus comprises a first switch assembly having an input end to receive a power input signal, the first switch assembly having a plurality of output channels; a second switch assembly coupled to the output channels of the first switch assembly; a plurality of power receiving members coupled to the second switch assembly; and a controller controlling the first switch assembly to selectively transmit the power input signal to the output channels one at a time in a cyclical manner according to a first switching rate. The controller controls the second switch assembly to transmit the power input signal from the output channels of the first switch assembly to one subset of the power receiving members at a time according to a second switching rate, so as to transmit the power input signal to a subset of power receiving members one power receiving member at a time within the subset of power receiving members according to the first switching rate.

摘要翻译： 控制消融控制装置等中的配电的本发明的实施例。 在一个实施例中，功率开关装置包括具有输入端以接收功率输入信号的第一开关组件，第一开关组件具有多个输出通道; 耦合到第一开关组件的输出通道的第二开关组件; 耦合到所述第二开关组件的多个电力接收构件; 以及控制器，其控制所述第一开关组件，以根据第一开关速率以循环方式一次一个地将所述功率输入信号选择性地发送到所述输出通道。 控制器控制第二开关组件，以将功率输入信号从第一开关组件的输出通道按照第二切换速率一次传输到功率接收部件的一个子集，以将功率输入信号发送到 电力接收构件的子集，根据第一开关率，在电力接收构件的子集内的一个时间处有一个电力接收构件。

公开(公告)号：US20100274238A1

公开(公告)日：2010-10-28

申请号：US12428173

申请日：2009-04-22

申请人： Gleb V. Klimovitch

发明人： Gleb V. Klimovitch

IPC分类号： A61B18/18

CPC分类号： A61B18/1447 ,  A61B18/1442 ,  A61B2018/00577 ,  A61B2018/00642 ,  A61B2018/00666 ,  A61B2018/00708 ,  A61B2018/00875 ,  A61B2018/126 ,  A61B2018/1467

摘要： A method of ablating a tissue site includes at least two stages. A first stage involves conducting bipolar ablation between a first pair of electrodes situated in an opposing arrangement on opposing sides of the tissue site to form a pair of opposing first stage ablation regions extending from respective sides of the tissue towards the center. A second stage involves conducting bipolar ablation between a second pair of electrodes situated in a diametrical arrangement with respect to the first stage ablation regions, which forms a second stage ablation region intermediate the pair of first stage ablation regions. The second stage completes the ablation through the entire depth of the tissue site. Since the overall process can accommodate incomplete ablation during the first stage, lower power, reduced ablation times or both may be used during the first stage, avoiding overheating and with a decrease in ablated tissue volume.

摘要翻译： 消融组织部位的方法包括至少两个阶段。 第一阶段包括在位于组织部位的相对侧上的相对布置中的第一对电极之间进行双极烧蚀，以形成从组织的相应侧向中心延伸的一对相对的第一阶段烧蚀区域。 第二阶段涉及在相对于第一阶段烧蚀区域位于直径布置的第二对电极之间进行双极烧蚀，其形成第一级烧蚀区域中间的第二级烧蚀区域。 第二阶段通过组织部位的整个深度完成消融。 由于整个过程可以适应第一阶段的不完全消融，所以可以在第一阶段期间使用较低的功率，减少的消融时间或两者，从而避免过热并且消融的组织体积减少。

公开(公告)号：US20090171342A1

公开(公告)日：2009-07-02

申请号：US11967217

申请日：2007-12-30

申请人： Gleb V. KLIMOVITCH ,  Timothy E. Ciciarelli ,  Shena H. Park

发明人： Gleb V. KLIMOVITCH ,  Timothy E. Ciciarelli ,  Shena H. Park

IPC分类号： A61B18/12

CPC分类号： A61B18/1206 ,  A61B18/1492 ,  A61B2018/00363 ,  A61B2018/00577 ,  A61B2018/00702 ,  A61B2018/00767 ,  A61B2018/00791 ,  A61B2018/00797 ,  A61B2018/00815

摘要： A system and method for using a common subchannel to assess operating characteristics of one of a plurality of transducers that are coupled to said subchannel is disclosed. The plurality of transducers are divided into subsets and each subset is coupled to a subchannel. The system is configured to activate a selected transducer on the subchannel and the subchannel delivers operational information on the activated transducer. The present invention reduces the number of subchannels required to collect information on the plurality of transducers. The present invention may utilize one or more loading conditions to take at least one measurement, which at least one measurement is then used to derive operational information on the transducer. In one configuration, information on the amount of energy being delivered to the transducer is collected simultaneously with information on the operating temperature. In another embodiment only the temperature is measured. The present invention permits a more compact ablation device to be constructed based on the invention's ability to reduce the total number of subchannels required to collect transducer information.

摘要翻译： 公开了一种用于使用公共子信道来评估耦合到所述子信道的多个换能器之一的操作特性的系统和方法。 多个换能器被划分为子集，并且每个子集耦合到子信道。 该系统被配置为激活子信道上的所选换能器，并且子通道在激活的换能器上传送操作信息。 本发明减少了在多个换能器上收集信息所需的子信道的数量。 本发明可以利用一个或多个负载条件进行至少一个测量，然后使用至少一个测量来导出换能器上的操作信息。 在一个配置中，关于传送到换能器的能量的信息与关于工作温度的信息同时收集。 在另一个实施例中，仅测量温度。 本发明允许基于本发明减少收集换能器信息所需的子通道总数的能力来构建更紧凑的消融装置。

公开(公告)号：US08864757B2

公开(公告)日：2014-10-21

申请号：US12347607

申请日：2008-12-31

申请人： Gleb V. Klimovitch ,  John W. Sliwa

发明人： Gleb V. Klimovitch ,  John W. Sliwa

IPC分类号： A61B18/18 ,  A61B18/04 ,  A61B17/42 ,  A61B17/46 ,  A61D1/10 ,  A61B8/00 ,  A61B5/04 ,  A61B18/14 ,  A61B5/00 ,  A61B5/042 ,  A61B18/02 ,  A61B19/00 ,  A61N7/02 ,  A61B18/24

CPC分类号： A61B5/6885 ,  A61B5/042 ,  A61B8/12 ,  A61B18/02 ,  A61B18/1492 ,  A61B18/24 ,  A61B2090/065 ,  A61B2218/002 ,  A61N1/05 ,  A61N7/022

摘要： A contact sensing assembly including a catheter including an electrode having a base portion mounted adjacent a head portion of the catheter body. A sensor is disposed adjacent the base portion for measuring compression or tensile forces applied to an electrode tip portion, and includes a predetermined sensitivity. The base and head portions include predetermined rigidity so that forces applied to the electrode tip portion are determinable as a function of the sensitivity and a sensor output. A contact sensing assembly also includes an electrode pipe operatively connected to the catheter body for movement and bending with the catheter body, and an electrode wire disposed in the electrode pipe and including insulation. A change in capacitance resulting from movement of the electrode wire toward the electrode pipe or contact of the electrode wire with the electrode pipe during bending of the catheter correlates to a force applied to the catheter.

摘要翻译： 一种接触检测组件，包括导管，其包括具有邻近导管主体的头部安装的基部的电极。 传感器邻近基部设置，用于测量施加到电极末端部分的压缩或拉伸力，并且包括预定的灵敏度。 基部和头部包括预定的刚度，使得施加到电极末端部分的力可以根据灵敏度和传感器输出来确定。 接触检测组件还包括可操作地连接到导管主体的用于与导管主体一起移动和弯曲的电极管，以及设置在电极管中并包括绝缘体的电极线。 在导管弯曲期间由电极线向电极管的移动或电极线与电极管的接触的电容变化与施加于导管的力相关。