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公开(公告)号:US09808280B2
公开(公告)日:2017-11-07
申请号:US11737493
申请日:2007-04-19
IPC分类号: A61B17/00 , A61B17/34 , A61B17/02 , A61B17/12 , A61B17/32 , A61B17/29 , A61B17/30 , A61B18/00
CPC分类号: A61B17/3421 , A61B17/0218 , A61B17/12 , A61B17/320016 , A61B17/3423 , A61B2017/00243 , A61B2017/0243 , A61B2017/2905 , A61B2017/308 , A61B2017/3419 , A61B2017/3445 , A61B2017/3486 , A61B2018/00291
摘要: Methods and devices described herein facilitate improved treatment of body organs. More specifically, devices and methods described herein are for minimally invasive surgery permit improved diaphragmatic access to a body cavity to perform a surgical procedure, for example ablation and/or coagulation of cardiac tissue during minimally invasive surgical access to the heart. The diaphragmatic access described provides direct visualization of anatomic structures within the thoracic cavity such as the posterior left atrium, the posterior side of pulmonary veins, or any other such anatomic structure.
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公开(公告)号:US09603658B2
公开(公告)日:2017-03-28
申请号:US12821067
申请日:2010-06-22
CPC分类号: A61B18/1492 , A61B2018/00029 , A61B2018/00077 , A61B2018/00291 , A61B2018/00351 , A61B2018/00363 , A61B2018/00577 , A61B2018/00613 , A61B2018/1435 , A61B2018/1465 , A61B2218/002 , A61B2218/007
摘要: An embodiment of the invention includes a surgical device for coagulating soft tissue such as atrial tissue in the treatment of atrial fibrillation, atrial flutter, and atrial tachycardia; tendon or ligament shrinkage; or articular cartilage removal. The surgical device integrates a suction mechanism with the coagulation mechanism improving the lesion creation capabilities of the device. The surgical device comprises an elongate member having an insulative covering attached about conductive elements capable of coagulating soft tissue when radiofrequency or direct current energy is transmitted to the conductive elements. Openings through the insulative covering expose regions of the conductive elements and are coupled to lumens in the elongate member which are routed to a vacuum source. Suction causes the soft tissue to actively engage the opening thus the integrated, exposed conductive elements to facilitate the coagulation process and ensure the lesions created are consistent, continuous, and transmural. The embodiments of the invention can also incorporate cooling mechanisms associated with the conductive elements and coupled to a fluid source to passively transport fluid along the contacted soft tissue surface to cool thus pushing the maximum temperature deeper into tissue.
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公开(公告)号:US20160220306A1
公开(公告)日:2016-08-04
申请号:US15094830
申请日:2016-04-08
CPC分类号: A61B18/1492 , A61B18/082 , A61B18/148 , A61B18/18 , A61B2018/00083 , A61B2018/0019 , A61B2018/00291 , A61B2018/00351 , A61B2018/00488 , A61B2018/00494 , A61B2018/00529 , A61B2018/00547 , A61B2018/00559 , A61B2018/00577 , A61B2018/00589 , A61B2018/1437 , A61B2018/1472 , A61B2018/1497 , A61B2218/002 , A61B2218/007
摘要: Methods for using a surgical device integrating a suction mechanism with a coagulation mechanism for improving lesion creation capabilities. The device comprises an elongate member having an insulative covering attached about means for coagulating soft tissue. Openings through the covering expose regions of the coagulation-causing elements and are coupled to lumens in the elongate member which are routed to a vacuum source and a fluid source to passively transport fluid along the contacted soft tissue surface in order to push the maximum temperature deeper into tissue.
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公开(公告)号:US08998900B2
公开(公告)日:2015-04-07
申请号:US11408302
申请日:2006-04-21
CPC分类号: A61B18/1492 , A61B18/148 , A61B2018/00029 , A61B2018/00083 , A61B2018/00291 , A61B2018/00351 , A61B2018/00577 , A61B2018/00589 , A61B2018/1435 , A61B2018/1437 , A61B2018/1472 , A61B2018/1497 , A61B2218/002 , A61B2218/007
摘要: A surgical device integrating a suction mechanism with a coagulation mechanism is provided for improving lesion creation capabilities. The device comprises an elongate member having an insulative covering attached about means for coagulating soft tissue. Openings through the covering expose regions of the coagulation-causing elements and are coupled to lumens in the elongate member which are routed to a vacuum source. A fluid source to passively transport fluid along the contacted soft tissue surface may be provided in order to push the maximum temperature deeper into tissue.
摘要翻译: 提供了一种将抽吸机构与凝固机构整合的手术装置,用于改善损伤创建能力。 该装置包括细长构件,其具有围绕用于凝固软组织的装置的绝缘覆盖物。 穿过覆盖物的暴露部分暴露出凝结成分元件的区域,并且连接到细长构件中的路线到真空源的腔。 可以提供用于沿着接触的软组织表面被动地输送流体的流体源,以将最大温度推到组织中。
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公开(公告)号:US20130018370A1
公开(公告)日:2013-01-17
申请号:US13366031
申请日:2012-02-03
CPC分类号: A61B18/1492 , A61B18/082 , A61B18/148 , A61B18/18 , A61B2018/00083 , A61B2018/0019 , A61B2018/00291 , A61B2018/00351 , A61B2018/00488 , A61B2018/00494 , A61B2018/00529 , A61B2018/00547 , A61B2018/00559 , A61B2018/00577 , A61B2018/00589 , A61B2018/1437 , A61B2018/1472 , A61B2018/1497 , A61B2218/002 , A61B2218/007
摘要: Methods for using a surgical device integrating a suction mechanism with a coagulation mechanism for improving lesion creation capabilities. The device comprises an elongate member having an insulative covering attached about means for coagulating soft tissue. Openings through the covering expose regions of the coagulation-causing elements and are coupled to lumens in the elongate member which are routed to a vacuum source and a fluid source to passively transport fluid along the contacted soft tissue surface in order to push the maximum temperature deeper into tissue.
摘要翻译: 使用将抽吸机构与凝固机构整合以改善损伤创建能力的外科手术装置的方法。 该装置包括细长构件,其具有围绕用于凝固软组织的装置的绝缘覆盖物。 通过覆盖物暴露出凝结成分元件的区域的开口并且连接到细长构件中的管腔,细长构件被引导到真空源和流体源,以沿着接触的软组织表面被动地输送流体,以便将最大温度推到更深 进入组织。
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公开(公告)号:US20120271299A1
公开(公告)日:2012-10-25
申请号:US13541580
申请日:2012-07-03
CPC分类号: A61B18/1492 , A61B18/02 , A61B18/06 , A61B18/08 , A61B18/082 , A61B18/1206 , A61B18/1402 , A61B18/18 , A61B18/201 , A61B18/24 , A61B2017/00057 , A61B2017/00084 , A61B2018/00351 , A61B2018/00577 , A61B2018/00589 , A61B2018/00809 , A61B2018/00821 , A61B2018/126
摘要: Methods and devices described herein facilitate improved treatment of body organs.
摘要翻译: 本文描述的方法和装置有助于改善身体器官的治疗。
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公开(公告)号:US20120179150A1
公开(公告)日:2012-07-12
申请号:US13270067
申请日:2011-10-10
CPC分类号: A61B18/1492 , A61B18/148 , A61B2018/00029 , A61B2018/00083 , A61B2018/00291 , A61B2018/00351 , A61B2018/00577 , A61B2018/00589 , A61B2018/1435 , A61B2018/1437 , A61B2018/1472 , A61B2018/1497 , A61B2218/002 , A61B2218/007
摘要: A surgical device integrating a suction mechanism with a coagulation mechanism is provided for improving lesion creation capabilities. The device comprises an elongate member having an insulative covering attached about means for coagulating soft tissue. Openings through the covering expose regions of the coagulation-causing elements and are coupled to lumens in the elongate member which are routed to a vacuum source. A fluid source to passively transport fluid along the contacted soft tissue surface may be provided in order to push the maximum temperature deeper into tissue.
摘要翻译: 提供了一种将抽吸机构与凝固机构整合的手术装置,用于改善损伤创建能力。 该装置包括细长构件,其具有围绕用于凝固软组织的装置的绝缘覆盖物。 穿过覆盖物的暴露部分暴露出凝结成分元件的区域,并且连接到细长构件中的路线到真空源的腔。 可以提供用于沿着接触的软组织表面被动地输送流体的流体源,以将最大温度推到组织中。
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公开(公告)号:US20110313286A1
公开(公告)日:2011-12-22
申请号:US13107747
申请日:2011-05-13
CPC分类号: A61B17/00234 , A61B6/12 , A61B17/32002 , A61B18/148 , A61B18/1492 , A61B2017/00247 , A61B2017/003 , A61B2017/00858 , A61B2017/320004 , A61B2017/320012 , A61B2018/00005 , A61B2018/00285 , A61B2018/00291 , A61B2018/00351 , A61B2018/00773 , A61B2018/1435 , A61B2090/065 , A61B2218/002 , A61B2218/007
摘要: Methods and devices described herein facilitate ablation patterns on the heart within a pericardial sac and without opening or deflating the lungs.
摘要翻译: 本文所述的方法和装置有助于心包囊内的心脏上的消融模式,而不打开或放气肺。
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公开(公告)号:US20110137311A1
公开(公告)日:2011-06-09
申请号:US12852301
申请日:2010-08-06
IPC分类号: A61B18/14
CPC分类号: A61B18/1492 , A61B2018/00029 , A61B2018/00077 , A61B2018/00291 , A61B2018/00351 , A61B2018/00363 , A61B2018/00577 , A61B2018/00613 , A61B2018/1435 , A61B2018/1465 , A61B2218/002 , A61B2218/007
摘要: An embodiment of the invention includes a surgical device for coagulating soft tissue such as atrial tissue in the treatment of atrial fibrillation, atrial flutter, and atrial tachycardia; tendon or ligament shrinkage; or articular cartilage removal. The surgical device integrates a suction mechanism with the coagulation mechanism improving the lesion creation capabilities of the device. The surgical device comprises an elongate member having an insulative covering attached about conductive elements capable of coagulating soft tissue when radiofrequency or direct current energy is transmitted to the conductive elements. Openings through the insulative covering expose regions of the conductive elements and are coupled to lumens in the elongate member which are routed to a vacuum source. Suction causes the soft tissue to actively engage the opening thus the integrated, exposed conductive elements to facilitate the coagulation process and ensure the lesions created are consistent, continuous, and transmural. The embodiments of the invention can also incorporate cooling mechanisms associated with the conductive elements and coupled to a fluid source to passively transport fluid along the contacted soft tissue surface to cool thus pushing the maximum temperature deeper into tissue.
摘要翻译: 本发明的一个实施例包括用于在治疗心房颤动,心房扑动和心房心动过速中凝固软组织例如心房组织的手术装置; 腱或韧带收缩; 或关节软骨清除。 手术装置将抽吸机构与凝固机构相结合,改善了装置的病变创造能力。 手术装置包括细长构件,其具有绝缘覆盖物,该绝缘覆盖物围绕能够在射频或直流能量传递到导电元件时使软组织凝结的导电元件附近。 穿过绝缘覆盖物的开口暴露导电元件的区域,并且连接到被延伸到真空源的细长构件中的腔。 抽吸使得软组织积极地接合开口,从而使整合的暴露的导电元件有助于凝固过程,并确保所产生的损伤是一致的,连续的和透壁的。 本发明的实施例还可以包括与导电元件相关联的冷却机构并且耦合到流体源,以沿被接触的软组织表面被动地输送流体,从而将最大温度推向组织。
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公开(公告)号:US20110077672A1
公开(公告)日:2011-03-31
申请号:US12946987
申请日:2010-11-16
IPC分类号: A61B17/12
CPC分类号: A61B17/12013 , A61B17/00234 , A61B17/00491 , A61B17/0218 , A61B17/0401 , A61B17/0469 , A61B17/064 , A61B2017/00243 , A61B2017/00349 , A61B2017/0443 , A61B2017/0464 , A61B2017/0649 , A61B2017/3488 , A61F2/2487
摘要: Devices for insertion into an atrial appendage of stasis reducing components such as mesh members, chemical bonding agents or expandable anchors are disclosed.
摘要翻译: 公开了用于插入龋齿减少组件如网状构件,化学粘合剂或可扩张锚的心房附件的装置。
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