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    System and method for measuring esophagus proximity
    1.
    发明授权
    System and method for measuring esophagus proximity 有权
    用于测量食管接近度的系统和方法

    公开(公告)号：US08355801B2

    公开(公告)日：2013-01-15

    申请号：US11236278

    申请日：2005-09-26

    申请人： Martin F. O'Sullivan

    发明人： Martin F. O'Sullivan

    IPC分类号： A61N1/00

    CPC分类号： A61N1/04 ,  A61B18/1206 ,  A61B18/1492 ,  A61B34/20 ,  A61B2018/00351 ,  A61B2018/00779 ,  A61B2018/00839 ,  A61B2018/00869 ,  A61B2018/00875 ,  A61B2034/2051 ,  A61B2090/061 ,  A61N1/00 ,  A61N1/0517

    摘要： A system and method for determining on a continuous, real-time basis the proximity of the esophagus to an endocardial catheter during mapping, ablation or other endocardial catheter-based procedures, comprising an esophagus probe catheter and an endocardial catheter adapted for proximal signal transmission between each other. A signal processing unit is included to process and compare a characteristic of the proximity signal that is changes or attenuates with distance between the two catheters, such as impedance, amplitude and/or phase. Audio and/or optical outputs are provided to alert an operator when the distance between the catheters changes or is below a baseline measurement to avoid damage to the esophagus by the endocardial catheter. The system and method may include adaptations of the catheters with location sensor, and a mapping/navigational system for nonfluoroscopic location determination of the catheters.

    摘要翻译： 一种系统和方法，用于在映射，消融或其它基于心内膜导管的过程期间连续地实时地确定食管与心内膜导管的接近度，包括食管探针导管和心内膜导管，其适于在 彼此。 包括信号处理单元以处理和比较随着两个导管之间的距离（例如阻抗，幅度和/或相位）而改变或衰减的接近信号的特性。 提供音频和/或光学输出以在导管之间的距离改变或低于基线测量时提醒操作者，以避免心内膜导管损伤食道。 该系统和方法可以包括导管与位置传感器的适应，以及用于导管的非氟化位置确定的映射/导航系统。

    System and method for monitoring esophagus proximity
    2.
    发明授权
    System and method for monitoring esophagus proximity 有权
    监测食道接近度的系统和方法

    公开(公告)号：US08271095B2

    公开(公告)日：2012-09-18

    申请号：US11322587

    申请日：2005-12-30

    申请人： Martin F. O'Sullivan

    发明人： Martin F. O'Sullivan

    IPC分类号： A61N1/04

    CPC分类号： A61N1/04 ,  A61B18/1206 ,  A61B18/1492 ,  A61B34/20 ,  A61B2018/00351 ,  A61B2018/00779 ,  A61B2018/00839 ,  A61B2018/00869 ,  A61B2018/00875 ,  A61B2034/2051 ,  A61B2090/061 ,  A61N1/00 ,  A61N1/0517

    摘要： A system for determining the proximity of the esophagus to the ablation electrode of an ablation catheter during an ablation procedure is disclosed. The system comprises an ablation catheter having at least one ablation electrode, an esophageal probe catheter having at least one electrode, and a signal processing unit. Both the ablation electrode and the esophageal probe catheter are electrically connected to the signal processing unit. The signal processing unit receives electrical signals from the ablation electrode on the ablation catheter and the electrode on the esophageal probe catheter and compares the signals to determine the proximity of the esophagus to the ablation electrode.

    摘要翻译： 公开了一种用于在消融过程中确定食道与消融导管的消融电极的接近度的系统。 该系统包括具有至少一个消融电极的消融导管，具有至少一个电极的食道探针导管和信号处理单元。 消融电极和食道探针导管都电连接到信号处理单元。 信号处理单元从消融导管上的消融电极和食管探针导管上的电极接收电信号，并比较信号以确定食道与消融电极的接近程度。

    Deflectable catheter with hinge
    3.
    发明授权
    Deflectable catheter with hinge 有权
    可折叠导管与铰链

    公开(公告)号：US07276062B2

    公开(公告)日：2007-10-02

    申请号：US10386868

    申请日：2003-03-12

    申请人： Benjamin D. McDaniel ,  Martin F. O'Sullivan ,  James K. Lee

    发明人： Benjamin D. McDaniel ,  Martin F. O'Sullivan ,  James K. Lee

    IPC分类号： A61B18/18

    CPC分类号： A61M25/0147 ,  A61B5/042 ,  A61B5/6852 ,  A61B18/1492 ,  A61B2018/00011 ,  A61B2018/00351 ,  A61B2018/00577 ,  A61B2018/00821 ,  A61B2018/1407 ,  A61M25/005 ,  A61M25/0136 ,  A61M25/0138 ,  A61M2025/015 ,  A61M2210/125

    摘要： A deflectable device, such as a catheter, is provided that includes a hinge that enhances the ability of the device to deflect or bend within a predetermined plane. The catheter comprises an elongated tubular catheter body having proximal and distal ends and at least one lumen extending therethrough. A distal segment is provided distal to the distal end of the catheter body. A tubular hinge is provided between the distal end of the catheter body and the proximal end of the distal segment. The hinge has an axis and at least one lumen extending therethrough. The tube includes at least one slot, and preferably a plurality of slots, extending part of the way through the hinge generally transverse to the axis of the hinge.

    摘要翻译： 提供了诸如导管的可偏转装置，其包括提高装置在预定平面内偏转或弯曲的能力的铰链。 导管包括细长的管状导管本体，其具有近端和远端以及延伸穿过其中的至少一个内腔。 远侧段设置在导管主体的远端的远侧。 管状铰链设置在导管主体的远端和远侧段的近端之间。 铰链具有轴线和延伸穿过其中的至少一个内腔。 管包括至少一个狭槽，并且优选地多个狭槽，延伸通过铰链的方式的大致横向于铰链轴线的一部分。

    ESOPHAGEAL MAPPING CATHETER
    4.
    发明申请
    ESOPHAGEAL MAPPING CATHETER 有权
    食谱映射导管

    公开(公告)号：US20080177175A1

    公开(公告)日：2008-07-24

    申请号：US11869281

    申请日：2007-10-09

    申请人： Brian Mottola ,  Martin F. O'Sullivan ,  Sue-Lynn Wu

    发明人： Brian Mottola ,  Martin F. O'Sullivan ,  Sue-Lynn Wu

    IPC分类号： A61B5/05

    CPC分类号： A61B1/2733 ,  A61B1/0008 ,  A61B5/062 ,  A61B5/4233

    摘要： An esophageal mapping catheter enables a physician to map the location of the esophagus so as to avoid damaging the esophagus during radio frequency (RF) ablation procedures. Information from the esophageal mapping catheter is communicated to a patient information unit, communications unit and/or electroanatomic mapping system. The electroanatomic mapping system uses the information from the esophageal mapping catheter to develop a three-dimensional map of the esophagus and to monitor the temperature within the esophagus in order to prevent the creation of esophageal fistula.

    摘要翻译： 食道映射导管使医师能够映射食管的位置，以避免在射频（RF）消融过程中损伤食道。 来自食道映射导管的信息被传送到患者信息单元，通信单元和/或电解剖映射系统。 电解剖图系统使用食管图谱导管的信息来开发食道的三维图，并监测食道内的温度，以防止产生食管瘘。

    Esophagus isolation device
    6.
    发明授权
    Esophagus isolation device 有权
    食道隔离装置

    公开(公告)号：US08273016B2

    公开(公告)日：2012-09-25

    申请号：US11372665

    申请日：2006-03-10

    申请人： Martin F. O'Sullivan

    发明人： Martin F. O'Sullivan

    IPC分类号： A61B1/267 ,  A61M31/00 ,  A61M37/00 ,  A61M25/00

    CPC分类号： A61M25/0147 ,  A61B18/1492 ,  A61B2018/00702 ,  A61B2018/00791 ,  A61B2090/0427 ,  A61B2090/0481 ,  A61B2090/397 ,  A61M25/0029 ,  A61M25/0133 ,  A61M2025/0034 ,  A61M2025/004

    摘要： An esophagus isolation catheter for deflecting an esophagus of a patient away from an ablation site in the left atrium of the patient's heart is provided. The catheter comprises an elongated catheter body and a deflectable section. In one embodiment, the catheter comprises a deflectable intermediate section mounted at the distal end of the catheter body and a generally straight tip section mounted at the distal end of the intermediate section. In this embodiment, the catheter comprises two puller wires, one anchored proximal the other. The intermediate section deflects to form a generally C-shaped curve. In an alternative embodiment, the catheter comprises a deflectable tip section mounted at the distal end of the catheter body. In this embodiment, the catheter comprises only one puller wire. The tip section carries a tip electrode having an atraumatic design to prevent damage to the esophagus upon deflection.

    摘要翻译： 提供了用于使患者的食道偏离患者心脏左心房的消融部位的食管隔离导管。 导管包括细长导管主体和可偏转部分。 在一个实施例中，导管包括安装在导管主体的远端处的可偏转的中间部分和安装在中间部分的远端处的大致直的尖端部分。 在该实施例中，导管包括两个拉线，一个锚定在另一个上。 中间部分偏转以形成大致C形的曲线。 在替代实施例中，导管包括安装在导管主体的远端处的可偏转的尖端部分。 在该实施例中，导管仅包括一根拉线。 尖端部分携带具有无创伤设计的尖端电极，以防止在偏转时损伤食道。

    Method for treating tissue
    7.
    发明授权
    Method for treating tissue 有权
    治疗组织的方法

    公开(公告)号：US08256428B2

    公开(公告)日：2012-09-04

    申请号：US10386970

    申请日：2003-03-12

    申请人： Gerhard Hindricks ,  Hans Kottkamp ,  Bart-Jan Korteling ,  Benjamin D. McDaniel ,  Martin F. O'Sullivan ,  James K. Lee

    发明人： Gerhard Hindricks ,  Hans Kottkamp ,  Bart-Jan Korteling ,  Benjamin D. McDaniel ,  Martin F. O'Sullivan ,  James K. Lee

    IPC分类号： A61B18/18

    CPC分类号： A61B18/1492 ,  A61B2017/003 ,  A61B2018/00065 ,  A61B2018/00839 ,  A61B2018/1437 ,  A61B2218/002

    摘要： A method for treating tissue is provided. The method comprises introducing into a patient the distal end of a catheter. The catheter comprises a catheter shaft comprising an elongated tubing having proximal and distal ends, and a distal shaft comprising a tubing having proximal and distal ends. The distal shaft carries a treatment device along a side of the distal shaft. A hinge is mounted between the distal end of the catheter shaft and the proximal end of the distal shaft. The hinge enhances the ability of the distal shaft to bend relative to the catheter shaft in a single predetermined plane A force is exerted on the distal shaft to cause at least a portion of the treatment device that is along a side of the distal shaft to contact the tissue. The tissue is treated with the treatment device.

    摘要翻译： 提供了一种治疗组织的方法。 该方法包括向患者输入导管的远端。 导管包括导管轴，其包括具有近端和远端的细长管，以及包括具有近端和远端的管的远端轴。 远端轴沿着远侧轴的一侧承载治疗装置。 铰链安装在导管轴的远端和远端轴的近端之间。 铰链增强了远端轴在单个预定平面中相对于导管轴弯曲的能力。力施加在远端轴上，以使至少一部分处于远端轴侧的治疗装置接触 组织。 用处理装置处理组织。

    Esophageal mapping catheter
    8.
    发明授权
    Esophageal mapping catheter 有权
    食管图导管

    公开(公告)号：US08224422B2

    公开(公告)日：2012-07-17

    申请号：US11869281

    申请日：2007-10-09

    申请人： Brian Mottola ,  Martin F. O'Sullivan ,  Sue-Lynn Wu

    发明人： Brian Mottola ,  Martin F. O'Sullivan ,  Sue-Lynn Wu

    IPC分类号： A61B5/05

    CPC分类号： A61B1/2733 ,  A61B1/0008 ,  A61B5/062 ,  A61B5/4233

    摘要： An esophageal mapping catheter enables a physician to map the location of the esophagus so as to avoid damaging the esophagus during radio frequency (RF) ablation procedures. Information from the esophageal mapping catheter is communicated to a patient information unit, communications unit and/or electroanatomic mapping system. The electroanatomic mapping system uses the information from the esophageal mapping catheter to develop a three-dimensional map of the esophagus and to monitor the temperature within the esophagus in order to prevent the creation of esophageal fistula.

    摘要翻译： 食道映射导管使医师能够映射食管的位置，以避免在射频（RF）消融过程中损伤食道。 来自食道映射导管的信息被传送到患者信息单元，通信单元和/或电解剖映射系统。 电解剖图系统使用食管图谱导管的信息来开发食道的三维图，并监测食道内的温度，以防止产生食管瘘。

    Deflectable catheter with hinge
    10.
    发明授权
    Deflectable catheter with hinge 有权
    可折叠导管与铰链

    公开(公告)号：US08764743B2

    公开(公告)日：2014-07-01

    申请号：US11866352

    申请日：2007-10-02

    申请人： Benjamin D. McDaniel ,  Martin F. O'Sullivan ,  James K. Lee

    发明人： Benjamin D. McDaniel ,  Martin F. O'Sullivan ,  James K. Lee

    IPC分类号： A61B18/12

    CPC分类号： A61M25/0147 ,  A61B5/042 ,  A61B5/6852 ,  A61B18/1492 ,  A61B2018/00011 ,  A61B2018/00351 ,  A61B2018/00577 ,  A61B2018/00821 ,  A61B2018/1407 ,  A61M25/005 ,  A61M25/0136 ,  A61M25/0138 ,  A61M2025/015 ,  A61M2210/125

    摘要： A deflectable device, such as a catheter, is provided that includes a hinge that enhances the ability of the device to deflect or bend within a predetermined plane. The catheter comprises an elongated tubular catheter body having proximal and distal ends and at least one lumen extending therethrough. A distal segment is provided distal to the distal end of the catheter body. A tubular hinge is provided between the distal end of the catheter body and the proximal end of the distal segment. The hinge has an axis and at least one lumen extending therethrough. The tube includes at least one slot, and preferably a plurality of slots, extending part of the way through the hinge generally transverse to the axis of the hinge.

    摘要翻译： 提供了诸如导管的可偏转装置，其包括提高装置在预定平面内偏转或弯曲的能力的铰链。 导管包括细长的管状导管本体，其具有近端和远端以及延伸穿过其中的至少一个内腔。 远侧段设置在导管主体的远端的远侧。 管状铰链设置在导管主体的远端和远侧段的近端之间。 铰链具有轴线和延伸穿过其中的至少一个内腔。 管包括至少一个狭槽，并且优选地多个狭槽，延伸通过铰链的方式的大致横向于铰链的轴线的一部分。