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公开(公告)号：US08364236B2
公开(公告)日：2013-01-29
申请号：US13409352
申请日：2012-03-01
IPC分类号： A61B5/042
CPC分类号： A61B5/0422 , A61B5/042 , A61B5/6858 , A61B5/6859 , A61B18/1492 , A61B2018/0016 , A61B2018/00267 , A61B2018/00351 , A61B2562/17 , F04C2270/0421 , Y10T29/49117
摘要： A device for insertion into a body lumen, includes: an electrode assembly strip with exposed electrodes including: a polymeric substrate having an upper surface and an opposed lower surface; one or more electrodes disposed over a portion of the upper surface of the polymeric substrate; one or more electrical traces disposed over a portion of the lower surface of the polymeric substrate in electrical communication with the one or more electrodes by way of metal plated holes through the substrate; and a flexible polymeric substrate having a substrate surface and a substrate wall; wherein the electrode assembly strip is compressingly and thermally bonded to the substrate surface of the flexible polymeric substrate to define a flexible electrode assembly strip; and wherein the electrode assembly strip has a thickness from about 0.0005 inches to about 0.008 inches.
摘要翻译： 一种用于插入体腔的装置，包括：具有暴露电极的电极组件带，包括：具有上表面和相对的下表面的聚合物基底; 设置在聚合物基材的上表面的一部分上的一个或多个电极; 一个或多个电迹线设置在所述聚合物基底的下表面的一部分上，通过穿过所述基底的金属电镀孔与所述一个或多个电极电连通; 以及具有衬底表面和衬底壁的柔性聚合物衬底; 其中所述电极组合条被压缩并热粘合到所述柔性聚合物基底的所述基底表面以限定柔性电极组合带; 并且其中所述电极组件条的厚度为约0.0005英寸至约0.008英寸。
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2.发明申请BASKET STYLE CARDIAC MAPPING CATHETER HAVING AN ATRAUMATIC BASKET TIP FOR DETECTION OF CARDIAC RHYTHM DISORDERS 有权篮球风格卡通导管，具有用于检测心脏疾病的ATRAUMATIC BASKET TIP公开(公告)号：US20120271140A1
公开(公告)日：2012-10-25
申请号：US13409332
申请日：2012-03-01
IPC分类号： A61B5/04
CPC分类号： A61B5/0422 , A61B5/042 , A61B5/6858 , A61B5/6859 , A61B18/1492 , A61B2018/0016 , A61B2018/00267 , A61B2018/00351 , A61B2562/17 , F04C2270/0421 , Y10T29/49117
摘要： A system for sensing multiple local electric voltages from endocardial surface of a heart, includes: a first elongate tubular member having a lumen, a proximal end and a distal end; and a basket assembly including: a plurality of flexible splines for guiding a plurality of exposed electrodes, the splines having proximal portions and distal portions; an anchor for securably affixing the proximal portions of the splines; the anchor being secured at the distal end of the first elongate tubular member; an encapsulated and filament-wrapped distal tip including an encapsulant and a filament for securably affixing the distal portions of the splines in a predetermined angular relationship at the distal tip; wherein the splines comprise a superelastic material; and wherein the basket assembly has a radially expanded non-cylindrical shape.
摘要翻译： 一种用于感测来自心脏心内膜表面的多个局部电压的系统，包括：具有内腔，近端和远端的第一细长管状构件; 以及篮组件，其包括：多个柔性花键，用于引导多个暴露的电极，所述花键具有近端部分和远端部分; 锚固件，用于牢固地固定花键的近端部分; 所述锚固件固定在所述第一细长管状构件的远端处; 封装和长丝缠绕的远端尖端，其包括密封剂和长丝，用于以预定的角度关系在所述远侧末端固定所述花键的远端部分; 其中所述花键包括超弹性材料; 并且其中所述筐组件具有径向膨胀的非圆柱形形状。
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3.发明授权公开(公告)号：US08285393B2
公开(公告)日：2012-10-09
申请号：US11243141
申请日：2005-10-03
CPC分类号： A61B18/1482 , A61B2018/00363 , A61B2018/00577 , A61B2018/00702 , A61B2018/00791
摘要： A device and method for treating an infarct scar on a heart comprising an electric cable with proximal and distal ends; a handle with proximal and distal ends with the proximal end connected to the distal end of the cable; a stem with proximal and distal ends with the proximal end of the stem connected to the distal end of the handle; a heating element with a first surface for contacting infarct scar tissue connected to the distal end of the stem wherein the heating element comprises at least two electrodes and at least one temperature sensor positioned on the first surface for sensing a temperature of infarct scar tissue adjacent to the sensor; an energy source connected to the electrodes via the electric cable; and a regulator connected to the energy source and the temperature sensor of the infarct scar tissue, for controlling the temperature of the infarct scar tissue from about 60 degrees C. to about 99 degrees C. Once the heart has been treated, a restraint is disclosed that allows for the shrinkage to be maintained over time.
摘要翻译： 一种用于治疗心脏上的梗塞瘢痕的装置和方法，包括具有近端和远端的电缆; 具有近端和远端的把手，其近端连接到电缆的远端; 杆，其近端和远端具有杆的近端连接到手柄的远端; 加热元件，其具有用于接触连接到所述杆的远端的梗塞瘢痕组织的第一表面，其中所述加热元件包括至少两个电极和位于所述第一表面上的至少一个温度传感器，用于感测与所述第一表面相邻的梗塞瘢痕组织的温度 传感器; 通过电缆连接到电极的能量源; 以及连接到梗塞瘢痕组织的能量源和温度传感器的调节器，用于将梗塞瘢痕组织的温度控制在约60摄氏度至约99摄氏度之间。一旦心脏被治疗，就会公开一种约束 这允许在一段时间内保持收缩。
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4.发明授权Composite structures and methods for ablating tissue to form complex lesion patterns in the treatment of cardiac conditions and the like 失效用于在治疗心脏病况等中烧蚀组织以形成复杂病变图案的复合结构和方法公开(公告)号：US07413568B2
公开(公告)日：2008-08-19
申请号：US09870288
申请日：2001-05-29
CPC分类号： A61B18/1492 , A61B2017/003 , A61B2018/00083 , A61B2018/00196 , A61B2018/00214 , A61B2018/00267 , A61B2018/00577 , A61B2018/00839 , A61B2018/1437 , A61B2018/1467 , A61B2018/1497
摘要： A method of ablating tissue in the heart to treat atrial fibrillation introduces into a selected atrium an energy emitting element. The method exposes the element to a region of the atrial wall and applies ablating energy to the element to thermally destroy tissue. The method forms a convoluted lesion pattern comprising elongated straight lesions and elongated curvilinear lesions. The lesion pattern directs electrical impulses within the atrial myocardium along a path that activates the atrial myocardium while interrupting reentry circuits that, if not interrupted, would cause fibrillation. The method emulates the surgical maze procedure, but lends itself to catheter-based procedures that do not require open heart surgical techniques. A composite structure for performing the method is formed using a template that displays in planar view a desired lesion pattern for the tissue. An array of spaced apart element is laid on the template. Guided by the template, energy emitting and non-energy emitting zones are formed on the elements. By overlaying the elements, the composite structure is formed, which can be introduced into the body to ablate tissue using catheter-based, vascular access techniques.
摘要翻译： 心脏中消融组织以治疗心房颤动的方法将所选择的心房引入能量发射元件。 该方法将该元件暴露于心房壁的一个区域，并向该元件施加消融能量以热破坏组织。 该方法形成包括细长的直线损伤和细长的曲线损伤的褶皱病变图案。 病变图案沿着激活心房心肌的路径引导心房心肌内的电脉冲，同时中断再入电路，如果不中断，将引起原纤维化。 该方法模拟外科迷宫手术，但适用于不需要开放心脏手术技术的基于导管的手术。 用于执行该方法的复合结构使用在平面图中显示用于组织的期望损伤图案的模板来形成。 间隔开的元件阵列放置在模板上。 在模板的指导下，在元件上形成能量发射和非能量发射区。 通过覆盖元件，形成复合结构，其可以引入体内以使用基于导管的血管通路技术来烧蚀组织。
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5.发明授权Expandable-collapsible electrode structures made of electrically conductive material 有权由导电材料制成的可膨胀 - 可折叠电极结构公开(公告)号：US06736811B2
公开(公告)日：2004-05-18
申请号：US10170988
申请日：2002-06-11
IPC分类号： A61B1814
CPC分类号： A61N1/06 , A61B18/1492 , A61B2017/00053 , A61B2017/00243 , A61B2017/22051 , A61B2017/22061 , A61B2018/00065 , A61B2018/00083 , A61B2018/00095 , A61B2018/00107 , A61B2018/00113 , A61B2018/00148 , A61B2018/00214 , A61B2018/0022 , A61B2018/00267 , A61B2018/00839 , A61B2018/1253 , A61B2018/1472 , A61B2218/002 , A61L29/085 , A61L29/145 , A61L31/10 , A61L31/145 , A61N1/056 , C08L1/02
摘要： Electrode assemblies and associated systems employ a nonporous wall having an exterior for contacting tissue. The exterior peripherally surrounds an interior area. The wall is essentially free of electrically conductive material. The wall is adapted to assume an expanded geometry having a first maximum diameter and a collapsed geometry having a second maximum diameter less than the first maximum diameter. The assemblies and systems include a lumen that conveys a medium containing ions into the interior area. An element free of physical contact with the wall couples the medium within the interior area to a source of electrical energy to enable ionic transport of electrical energy from the source through the medium to the wall for capacitive coupling to tissue contacting the exterior of the wall.
摘要翻译： 电极组件和相关系统采用具有用于接触组织的外部的无孔壁。 外部外围围绕着内部区域。 该壁基本上不含导电材料。 壁适于呈现具有第一最大直径和具有小于第一最大直径的第二最大直径的折叠几何形状的扩展几何形状。 组件和系统包括将含有离子的介质输送到内部区域的内腔。 与壁物理接触的元件将内部区域内的介质耦合到电能源，以使电能从源通过介质到壁的电能离子传输，用于电容耦合到与壁的外部接触的组织。
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公开(公告)号：US06233491B1
公开(公告)日：2001-05-15
申请号：US08934577
申请日：1997-09-22
申请人： Thomas F. Kordis , David K. Swanson
发明人： Thomas F. Kordis , David K. Swanson
IPC分类号： A61N105
CPC分类号： A61N1/06 , A61B18/1492 , A61B2018/0016 , A61B2018/00214 , A61B2018/00267 , A61B2018/00357 , A61B2018/00577 , A61B2018/00839 , A61B2018/0091 , A61B2018/1253 , A61B2018/1407 , A61B2018/1435 , A61B2218/002
摘要： A probe for cardiac diagnosis and/or treatment has a catheter tube. The distal end of the catheter tube carries first and second electrode elements. The probe includes a mechanism for steering the first electrode element relative to the second electrode element in multiple directions.
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公开(公告)号：US06216044B1
公开(公告)日：2001-04-10
申请号：US09112665
申请日：1998-07-09
申请人： Thomas F. Kordis
发明人： Thomas F. Kordis
IPC分类号： A61N100
CPC分类号： A61B5/0422 , A61B5/6858 , A61B18/1492 , A61B2018/00267 , A61B2018/1407 , A61B2018/1435 , A61B2562/0209 , A61B2562/043
摘要： An electrode support structure has a slotted hub and an integral body with a mid-section and opposed pair of spline elements that extend from the mid-section. The mid-section is captured within the slot, securing the integral body to the hub with the opposed spline elements radiating free of the slot for carrying one or more electrodes.
摘要翻译： 电极支撑结构具有开槽轮毂和整体，其具有从中间部分延伸的中间部分和相对的一对花键元件。 中间部分被捕获在槽内，将整体固定到轮毂上，相对的花键元件辐射不用于承载一个或多个电极的槽。
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公开(公告)号：US5968040A
公开(公告)日：1999-10-19
申请号：US728698
申请日：1996-10-28
CPC分类号： A61N1/00
摘要： Systems and methods support arrays of multiple electrodes in asymmetric pattern, either radially, or axially, or both. Radial asymmetry makes it possible provide localized density of electrodes. Axial asymmetry makes it possible to locate electrodes in a pattern that closely conforms to the irregular contours of an interior body cavity, like the heart. In a preferred embodiment, the systems and methods operate the multiple electrode arrays to form continuous lesion patterns.
摘要翻译： 系统和方法以径向或轴向或两者不对称的方式支持多个电极的阵列。 径向不对称使得可能提供电极的局部密度。 轴向不对称使得可以将电极定位成与内部体腔的不规则轮廓紧密一致的图案，如心脏。 在优选实施例中，系统和方法操作多个电极阵列以形成连续的病变图案。
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9.发明授权公开(公告)号：US08644902B2
公开(公告)日：2014-02-04
申请号：US13409595
申请日：2012-03-01
申请人： Thomas F. Kordis , Ruchir Sehra
发明人： Thomas F. Kordis , Ruchir Sehra
CPC分类号： A61B5/0422 , A61B5/042 , A61B5/6858 , A61B5/6859 , A61B18/1492 , A61B2018/0016 , A61B2018/00267 , A61B2018/00351 , A61B2562/17 , F04C2270/0421 , Y10T29/49117
摘要： A method for sensing multiple local electric voltages from endocardial surface of a heart, includes: providing a system for sensing multiple local electric voltages from endocardial surface of a heart, including: a first elongate tubular member having a lumen, a proximal end and a distal end; a basket assembly including: a plurality of flexible splines for guiding a plurality of exposed electrodes, the splines having proximal portions, distal portions and medial portions therein between, wherein the electrodes are substantially flat electrodes and are substantially unidirectionally oriented towards a direction outside of the basket.
摘要翻译： 一种用于感测来自心脏心内膜表面的多个局部电压的方法，包括：提供用于感测来自心脏心内膜表面的多个局部电压的系统，包括：第一细长管状构件，其具有内腔，近端和远端 结束; 一种篮子组件，其包括：用于引导多个暴露电极的多个柔性花键，所述花键具有其间的近端部分，远侧部分和中间部分，其中所述电极基本上是平坦的电极，并且基本上单向地朝向 篮。
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10.发明申请BASKET STYLE CARDIAC MAPPING CATHETER HAVING SPLINE BENDS FOR DETECTION OF CARDIAC RHYTHM DISORDERS 有权具有检测心脏疾病症状的线索的篮式风格护理导管公开(公告)号：US20120271139A1
公开(公告)日：2012-10-25
申请号：US13409301
申请日：2012-03-01
IPC分类号： A61B5/042
CPC分类号： A61B5/0422 , A61B5/042 , A61B5/6858 , A61B5/6859 , A61B18/1492 , A61B2018/0016 , A61B2018/00267 , A61B2018/00351 , A61B2562/17 , F04C2270/0421 , Y10T29/49117
摘要： A system a system for sensing multiple local electric voltages from endocardial surface of a heart, includes: a first elongate tubular member; a basket assembly including: a plurality of flexible splines for guiding a plurality of exposed electrodes, the splines having proximal portions, distal portions and medial portions therein between; a proximal anchor for securably affixing the proximal portions of the splines; the proximal anchor being secured at the distal end of the first elongate tubular member; a distal tip for securably affixing the distal portions of the splines wherein at least some of the splines in the radially expanded non-spherical shape contain a distal excurvate outward bend disposed at the distal portion of the spline at a location near to the distal tip of the basket assembly to bend the splines back towards the proximal anchor.
摘要翻译： 一种用于感测来自心脏心内膜表面的多个局部电压的系统，包括：第一细长管状构件; 一种篮组件，包括：多个用于引导多个暴露电极的柔性花键，所述花键具有其间的近端部分，远侧部分和中间部分; 近端锚固件，用于牢固地固定花键的近端部分; 所述近端锚固件固定在所述第一细长管状构件的远端处; 用于牢固地固定花键的远端部分的远端，其中径向膨胀的非球形形状中的至少一些花键包含设置在花键的远端部分处的远侧偏侧向外弯曲处， 篮子组件将花键弯曲回近端锚。
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