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公开(公告)号：US20160317843A9
公开(公告)日：2016-11-03
申请号：US13446552
申请日：2012-04-13
IPC分类号： A61N7/02
CPC分类号： A61N7/022 , A61B5/0422 , A61B5/061 , A61B5/1076 , A61B34/20 , A61B34/25 , A61B2017/00044 , A61B2018/00577 , A61B2018/00839
摘要： A system for ablating and mapping tissue comprises a stand alone tissue ablation system adapted to ablate the tissue, and a stand alone cardiac mapping system adapted to map the tissue. The ablation system is operably coupled with the cardiac mapping system such that mapping data from the cardiac mapping system is provided to the ablation system to create a graphical display of the tissue and the ablation system position relative to the tissue. Motion of the ablation system may be monitored and adjusted based on feedback provided by ablation system actuators as well as position sensors.
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2.发明授权System and method for anatomical mapping of tissue and planning ablation paths therein 有权用于组织解剖图和其中规划消融路径的系统和方法公开(公告)号：US09192789B2
公开(公告)日：2015-11-24
申请号：US12609705
申请日：2009-10-30
CPC分类号： A61N7/022 , A61B8/0883 , A61B8/0891 , A61B8/12 , A61B8/14 , A61B34/10 , A61B2017/00039 , A61B2090/3782 , A61N2007/0052 , G06F19/00 , G06F19/321 , G16H15/00 , G16H20/40
摘要： Methods for ablating tissue in a patient having atrial fibrillation comprise advancing an elongate flexible shaft through a patient's vasculature into a chamber of a heart. The elongate flexible shaft has an energy source and a sensor. Tissue in the heart is scanned with the sensor and data about the tissue is captured. The captured data is grouped into one of a plurality of tissue classifications and an anatomical map of the tissue showing the grouped data is displayed. At least a portion of the tissue is ablated so as to form a conduction block that blocks aberrant electrical pathways in the heart. The ablated tissue is grouped into one or more predefined tissue classifications during or prior to the ablation.
摘要翻译： 具有心房颤动的患者中的消融组织的方法包括将细长的柔性轴穿过患者的脉管系统进入心脏的腔室。 细长的柔性轴具有能量源和传感器。 用传感器扫描心脏中的组织，并捕获关于组织的数据。 捕获的数据被分组为多个组织分类中的一个，并且显示组织数据的组织的解剖图。 组织的至少一部分被消融以形成阻挡心脏中的异常电通路的传导阻滞。 消融的组织在消融期间或之前被分组为一个或多个预定义的组织分类。
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公开(公告)号：US20130261647A1
公开(公告)日：2013-10-03
申请号：US13630674
申请日：2012-09-28
IPC分类号： A61B17/32
CPC分类号： A61B17/320068 , A61B17/2202 , A61B18/148 , A61B18/18 , A61B2017/00106 , A61B2017/22051 , A61B2017/320069 , A61B2018/00011 , A61B2018/00023 , A61B2018/00577 , A61B2018/0262 , A61B2018/1807 , A61N7/022
摘要： An ablation system for treating atrial fibrillation in a patient comprises an elongate shaft having proximal and distal ends, a lumen therebetween and a housing adjacent the distal end of the elongate shaft. An energy source is coupled to the housing and is adapted to deliver energy to a target tissue so as to create a zone of ablation in the target tissue that blocks abnormal electrical activity thereby reducing or eliminating the atrial fibrillation in the patient. A sensor is adjacent the energy source and adapted to detect relative position of the energy source to the target tissue or characteristics of the target tissue. The system also has a reflecting element operably coupled with the energy source and adapted to redirect energy emitted from the energy source in a desired direction or pattern.
摘要翻译： 用于治疗患者心房颤动的消融系统包括细长轴，其具有近端和远端，其间的内腔和邻近细长轴的远端的壳体。 能量源耦合到壳体并且适于将能量传递到目标组织，以便在目标组织中产生阻挡异常电活动从而减少或消除患者心房颤动的消融区域。 传感器邻近能量源并适于检测能量源与目标组织的相对位置或目标组织的特征。 该系统还具有与能量源可操作地耦合并且适于将能量源发射的能量以期望的方向或模式重定向的反射元件。
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公开(公告)号：US08511317B2
公开(公告)日：2013-08-20
申请号：US13405712
申请日：2012-02-27
IPC分类号： A61B19/00
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，该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。
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公开(公告)号：US20110230798A1
公开(公告)日：2011-09-22
申请号：US13092747
申请日：2011-04-22
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。
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6.发明申请SYSTEM AND METHOD FOR ENERGY DELIVERY TO TISSUE WHILE MONITORING POSITION, LESION DEPTH, AND WALL MOTION 有权在监测位置，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：US20100113985A1
公开(公告)日：2010-05-06
申请号：US12609759
申请日：2009-10-30
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 。
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7.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：US20100113928A1
公开(公告)日：2010-05-06
申请号：US12609274
申请日：2009-10-30
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。
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公开(公告)号：US20100016762A1
公开(公告)日：2010-01-21
申请号：US12505335
申请日：2009-07-17
CPC分类号： A61B18/148 , A61B17/2202 , A61B18/18 , A61B2017/00106 , A61B2017/22051 , A61B2017/320069 , A61B2018/00011 , A61B2018/00023 , A61B2018/00577 , A61B2018/0262 , A61B2018/1807 , A61N7/022
摘要： An ablation system for treating atrial fibrillation in a patient comprises an elongate shaft having proximal and distal ends, a lumen therebetween and a housing adjacent the distal end of the elongate shaft. An energy source is coupled to the housing and is adapted to deliver energy to a target tissue so as to create a zone of ablation in the target tissue that blocks abnormal electrical activity thereby reducing or eliminating the atrial fibrillation in the patient. A sensor is adjacent the energy source and adapted to detect relative position of the energy source to the target tissue or characteristics of the target tissue. The system also has a reflecting element operably coupled with the energy source and adapted to redirect energy emitted from the energy source in a desired direction or pattern.
摘要翻译： 用于治疗患者心房颤动的消融系统包括细长轴，其具有近端和远端，其间的内腔和邻近细长轴的远端的壳体。 能量源耦合到壳体并且适于将能量传递到目标组织，以便在目标组织中产生阻挡异常电活动从而减少或消除患者心房颤动的消融区域。 传感器邻近能量源并适于检测能量源与目标组织的相对位置或目标组织的特征。 该系统还具有与能量源可操作地耦合并且适于将能量源发射的能量以期望的方向或模式重定向的反射元件。
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公开(公告)号：US20090312673A1
公开(公告)日：2009-12-17
申请号：US12482640
申请日：2009-06-11
CPC分类号： A61B18/00 , A61B18/02 , A61B18/08 , A61B18/1492 , A61B18/18 , A61B18/1815 , A61B18/20 , A61B18/24 , A61B2017/00084 , A61B2018/00005 , A61B2018/00029 , A61B2018/00095 , A61B2018/00357 , A61B2018/00577 , A61B2018/00714 , A61B2018/0212 , A61B2018/1861 , A61B2090/061 , A61N7/022 , A61N2007/0073
摘要： Methods and apparatus for treating a patient include an ablation device for treating atrial fibrillation. The device includes a housing having proximal and distal ends, and an energy source adjacent the distal end of the housing. The energy source has an active portion and an inactive portion. The active portion is adapted to deliver energy to tissue when the energy source is energized. This creates a partial or complete zone of ablation in the tissue that blocks abnormal electrical activity, thereby reducing or eliminating atrial fibrillation in the patient. The inactive portion does not emit energy or emits substantially no energy when the energy source is energized.
摘要翻译： 用于治疗患者的方法和装置包括用于治疗房颤的消融装置。 该装置包括具有近端和远端的壳体以及与壳体的远端相邻的能量源。 能量源具有活性部分和非活性部分。 活动部分适于在能量源被通电时将能量传递给组织。 这在组织中产生阻挡异常电活动的部分或完整的消融区，从而减少或消除患者的房颤。 当能量源通电时，非活性部分不发射能量或基本上不发射能量。
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公开(公告)号：US5873830A
公开(公告)日：1999-02-23
申请号：US916358
申请日：1997-08-22
申请人： John A. Hossack , Bhaskar S. Ramamurthy , John S. Wang , Kutay F. Ustuner , Ching-Hua Chou , James W. Arenson , Arvind Jain
发明人： John A. Hossack , Bhaskar S. Ramamurthy , John S. Wang , Kutay F. Ustuner , Ching-Hua Chou , James W. Arenson , Arvind Jain
CPC分类号： G01S7/52085 , G01S7/52046 , G01S7/5205 , G01S7/52066 , G01S7/52074 , G01S7/52095 , G01S7/52034
摘要： An ultrasound system and method are provided for improving resolution and operation. The system applies different imaging parameters within and outside a region of interest in an ultrasound image to improve spatial and/or temporal resolution inside a region of interest. The system also increases an apparent frame rate within a region of interest in an ultrasound-image frame by generating a motion-compensated interpolated image based on measured motion. The ultrasound imaging system also performs a method for automatically adjusting ultrasound imaging parameters in at least a portion of an ultrasound image in response to transducer or image motion to improve spatial or temporal resolution. With the measured motion, the system can also alter an operating mode of an ultrasound transducer array in response to an absence of transducer motion. Further, the system corrects distortion in an acquired ultrasound image caused by transducer or image motion.
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