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公开(公告)号：US20050240175A1
公开(公告)日：2005-10-27
申请号：US11148611
申请日：2005-06-08
申请人： Art Bertolero , Tamer Ibrahim , Daniel Conley
发明人： Art Bertolero , Tamer Ibrahim , Daniel Conley
CPC分类号： A61B18/1492 , A61B1/12 , A61B18/14 , A61B18/1402 , A61B18/1442 , A61B18/1445 , A61B18/18 , A61B2017/00243 , A61B2017/22051 , A61B2017/2945 , A61B2018/00023 , A61B2018/00029 , A61B2018/00291 , A61B2018/00345 , A61B2018/00351 , A61B2018/00363 , A61B2018/00404 , A61B2018/00577 , A61B2018/00875 , A61B2018/00982 , A61B2018/126 , A61B2018/1432
摘要： Devices and methods provide for ablation of cardiac tissue for treating cardiac arrhythmias such as atrial fibrillation. Although the devices and methods are often be used to ablate epicardial tissue in the vicinity of at least one pulmonary vein, various embodiments may be used to ablate other cardiac tissues in other locations on a heart. Devices generally include at least one tissue contacting member for contacting epicardial tissue and securing the ablation device to the epicardial tissue, and at least one ablation member for ablating the tissue. Various embodiments include features, such as suction apertures, which enable the device to attach to the epicardial surface with sufficient strength to allow the tissue to be stabilized via the device. For example, some embodiments may be used to stabilize a beating heart to enable a beating heart ablation procedure. Many of the devices may be introduced into a patient via minimally invasive introducer devices and the like. Although devices and methods of the invention may be used to ablate epicardial tissue to treat atrial fibrillation, they may also be used in veterinary or research contexts, to treat various heart conditions other than atrial fibrillation and/or to ablate cardiac tissue other than the epicardium.
摘要翻译： 装置和方法提供用于治疗心律失常的心脏组织的消融，例如心房颤动。 虽然通常使用装置和方法来消融至少一个肺静脉附近的心外膜组织，但是可以使用各种实施例来消融心脏上其他位置的其他心脏组织。 装置通常包括用于接触心外膜组织并将消融装置固定到心外膜组织的至少一个组织接触构件以及用于烧蚀组织的至少一个消融构件。 各种实施例包括诸如抽吸孔的特征，其使得装置能够以足够的强度附着到心外膜表面，以允许组织通过装置稳定。 例如，一些实施例可用于稳定跳动心脏以实现搏动心脏消融手术。 可以通过微创导引器装置等将许多装置引入患者体内。 尽管本发明的装置和方法可用于消融心外膜组织以治疗房颤，但它们也可用于兽医学或研究领域，以治疗心房颤动以外的各种心脏病和/或除心外膜外的心脏组织 。
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公开(公告)号：US07819867B2
公开(公告)日：2010-10-26
申请号：US11148611
申请日：2005-06-08
申请人： Art Bertolero , Tamer Ibrahim , Daniel J. Conley
发明人： Art Bertolero , Tamer Ibrahim , Daniel J. Conley
IPC分类号： A61B18/18
CPC分类号： A61B18/1492 , A61B1/12 , A61B18/14 , A61B18/1402 , A61B18/1442 , A61B18/1445 , A61B18/18 , A61B2017/00243 , A61B2017/22051 , A61B2017/2945 , A61B2018/00023 , A61B2018/00029 , A61B2018/00291 , A61B2018/00345 , A61B2018/00351 , A61B2018/00363 , A61B2018/00404 , A61B2018/00577 , A61B2018/00875 , A61B2018/00982 , A61B2018/126 , A61B2018/1432
摘要： Devices and methods provide for ablation of cardiac tissue for treating cardiac arrhythmias such as atrial fibrillation. Although the devices and methods are often be used to ablate epicardial tissue in the vicinity of at least one pulmonary vein, various embodiments may be used to ablate other cardiac tissues in other locations on a heart. Devices generally include at least one tissue contacting member for contacting epicardial tissue and securing the ablation device to the epicardial tissue, and at least one ablation member for ablating the tissue. Various embodiments include features, such as suction apertures, which enable the device to attach to the epicardial surface with sufficient strength to allow the tissue to be stabilized via the device. For example, some embodiments may be used to stabilize a beating heart to enable a beating heart ablation procedure. Many of the devices may be introduced into a patient via minimally invasive introducer devices and the like. Although devices and methods of the invention may be used to ablate epicardial tissue to treat atrial fibrillation, they may also be used in veterinary or research contexts, to treat various heart conditions other than atrial fibrillation and/or to ablate cardiac tissue other than the epicardium.
摘要翻译： 装置和方法提供用于治疗心律失常的心脏组织的消融，例如心房颤动。 虽然通常使用装置和方法来消融至少一个肺静脉附近的心外膜组织，但是可以使用各种实施例来消融心脏上其他位置的其他心脏组织。 装置通常包括用于接触心外膜组织并将消融装置固定到心外膜组织的至少一个组织接触构件以及用于烧蚀组织的至少一个消融构件。 各种实施例包括诸如抽吸孔的特征，其使得装置能够以足够的强度附着到心外膜表面，以允许组织通过装置稳定。 例如，一些实施例可用于稳定跳动心脏以实现搏动心脏消融手术。 可以通过微创导引器装置等将许多装置引入患者体内。 尽管本发明的装置和方法可用于消融心外膜组织以治疗房颤，但它们也可用于兽医学或研究领域，以治疗心房颤动以外的各种心脏病和/或除心外膜外的心脏组织 。
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公开(公告)号：US06849075B2
公开(公告)日：2005-02-01
申请号：US10272446
申请日：2002-10-15
申请人： Art Bertolero , Tamer Ibrahim , Daniel J. Conley
发明人： Art Bertolero , Tamer Ibrahim , Daniel J. Conley
CPC分类号： A61B1/12 , A61B18/14 , A61B18/1402 , A61B18/1442 , A61B2017/00243 , A61B2017/22051 , A61B2017/2945 , A61B2018/00023 , A61B2018/00029 , A61B2018/00291 , A61B2018/00345 , A61B2018/00351 , A61B2018/00363 , A61B2018/00404 , A61B2018/00577 , A61B2018/00875 , A61B2018/00982 , A61B2018/126 , A61B2018/1432
摘要： Devices and methods provide for ablation of cardiac tissue for treating cardiac arrhythmias such as atrial fibrillation. Although the devices and methods are often be used to ablate epicardial tissue in the vicinity of at least one pulmonary vein, various embodiments may be used to ablate other cardiac tissues in other locations on a heart. Devices generally include at least one tissue contacting member for contacting epicardial tissue and securing the ablation device to the epicardial tissue, and at least one ablation member for ablating the tissue. Various embodiments include features, such as suction apertures, which enable the device to attach to the epicardial surface with sufficient strength to allow the tissue to be stabilized via the device. For example, some embodiments may be used to stabilize a beating heart to enable a beating heart ablation procedure. Many of the devices may be introduced into a patient via minimally invasive introducer devices and the like. Although devices and methods of the invention may be used to ablate epicardial tissue to treat atrial fibrillation, they may also be used in veterinary or research contexts, to treat various heart conditions other than atrial fibrillation and/or to ablate cardiac tissue other than the epicardium.
摘要翻译： 装置和方法提供用于治疗心律失常的心脏组织的消融，例如心房颤动。 虽然通常使用装置和方法来消融至少一个肺静脉附近的心外膜组织，但是可以使用各种实施例来消融心脏上其他位置的其他心脏组织。 装置通常包括用于接触心外膜组织并将消融装置固定到心外膜组织的至少一个组织接触构件以及用于烧蚀组织的至少一个消融构件。 各种实施例包括诸如抽吸孔的特征，其使得装置能够以足够的强度附着到心外膜表面，以允许组织通过装置稳定。 例如，一些实施例可用于稳定跳动心脏以实现搏动心脏消融手术。 可以通过微创导引器装置等将许多装置引入患者体内。 尽管本发明的装置和方法可用于消融心外膜组织以治疗房颤，但它们也可用于兽医学或研究领域，以治疗心房颤动以外的各种心脏病和/或除心外膜外的心脏组织 。
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公开(公告)号：US08535307B2
公开(公告)日：2013-09-17
申请号：US12255076
申请日：2008-10-21
申请人： Art Bertolero , Tamer Ibrahim , Daniel J. Conley
发明人： Art Bertolero , Tamer Ibrahim , Daniel J. Conley
IPC分类号： A61B18/18
CPC分类号： A61B18/1492 , A61B1/12 , A61B18/14 , A61B18/1402 , A61B18/1442 , A61B18/1445 , A61B18/18 , A61B2017/00243 , A61B2017/22051 , A61B2017/2945 , A61B2018/00023 , A61B2018/00029 , A61B2018/00291 , A61B2018/00345 , A61B2018/00351 , A61B2018/00363 , A61B2018/00404 , A61B2018/00577 , A61B2018/00875 , A61B2018/00982 , A61B2018/126 , A61B2018/1432
摘要： Devices and methods provide for ablation of cardiac tissue for treating cardiac arrhythmias such as atrial fibrillation. Although the devices and methods are often be used to ablate epicardial tissue in the vicinity of at least one pulmonary vein, various embodiments may be used to ablate other cardiac tissues in other locations on a heart. Devices generally include at least one tissue contacting member for contacting epicardial tissue and securing the ablation device to the epicardial tissue, and at least one ablation member for ablating the tissue. Various embodiments include features, such as suction apertures, which enable the device to attach to the epicardial surface with sufficient strength to allow the tissue to be stabilized via the device. For example, some embodiments may be used to stabilize a beating heart to enable a beating heart ablation procedure. Many of the devices may be introduced into a patient via minimally invasive introducer devices and the like. Although devices and methods of the invention may be used to ablate epicardial tissue to treat atrial fibrillation, they may also be used in veterinary or research contexts, to treat various heart conditions other than atrial fibrillation and/or to ablate cardiac tissue other than the epicardium.
摘要翻译： 装置和方法提供用于治疗心律失常的心脏组织的消融，例如心房颤动。 虽然通常使用装置和方法来消融至少一个肺静脉附近的心外膜组织，但是可以使用各种实施例来消融心脏上其他位置的其他心脏组织。 装置通常包括用于接触心外膜组织并将消融装置固定到心外膜组织的至少一个组织接触构件以及用于烧蚀组织的至少一个消融构件。 各种实施例包括诸如抽吸孔的特征，其使得装置能够以足够的强度附着到心外膜表面，以允许组织通过装置稳定。 例如，一些实施例可用于稳定跳动心脏以实现搏动心脏消融手术。 可以通过微创导引器装置等将许多装置引入患者体内。 尽管本发明的装置和方法可用于消融心外膜组织以治疗房颤，但它们也可用于兽医学或研究领域，以治疗心房颤动以外的各种心脏病和/或除心外膜外的心脏组织 。
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公开(公告)号：US20090076501A1
公开(公告)日：2009-03-19
申请号：US12255076
申请日：2008-10-21
申请人： Art Bertolero , Tamer Ibrahim , Daniel J. Conley
发明人： Art Bertolero , Tamer Ibrahim , Daniel J. Conley
CPC分类号： A61B18/1492 , A61B1/12 , A61B18/14 , A61B18/1402 , A61B18/1442 , A61B18/1445 , A61B18/18 , A61B2017/00243 , A61B2017/22051 , A61B2017/2945 , A61B2018/00023 , A61B2018/00029 , A61B2018/00291 , A61B2018/00345 , A61B2018/00351 , A61B2018/00363 , A61B2018/00404 , A61B2018/00577 , A61B2018/00875 , A61B2018/00982 , A61B2018/126 , A61B2018/1432
摘要： Devices and methods provide for ablation of cardiac tissue for treating cardiac arrhythmias such as atrial fibrillation. Although the devices and methods are often be used to ablate epicardial tissue in the vicinity of at least one pulmonary vein, various embodiments may be used to ablate other cardiac tissues in other locations on a heart. Devices generally include at least one tissue contacting member for contacting epicardial tissue and securing the ablation device to the epicardial tissue, and at least one ablation member for ablating the tissue. Various embodiments include features, such as suction apertures, which enable the device to attach to the epicardial surface with sufficient strength to allow the tissue to be stabilized via the device. For example, some embodiments may be used to stabilize a beating heart to enable a beating heart ablation procedure. Many of the devices may be introduced into a patient via minimally invasive introducer devices and the like. Although devices and methods of the invention may be used to ablate epicardial tissue to treat atrial fibrillation, they may also be used in veterinary or research contexts, to treat various heart conditions other than atrial fibrillation and/or to ablate cardiac tissue other than the epicardium.
摘要翻译： 装置和方法提供用于治疗心律失常的心脏组织的消融，例如心房颤动。 虽然通常使用装置和方法来消融至少一个肺静脉附近的心外膜组织，但是可以使用各种实施例来消融心脏上其他位置的其他心脏组织。 装置通常包括用于接触心外膜组织并将消融装置固定到心外膜组织的至少一个组织接触构件以及用于烧蚀组织的至少一个消融构件。 各种实施例包括诸如抽吸孔的特征，其使得装置能够以足够的强度附着到心外膜表面，以允许组织通过装置稳定。 例如，一些实施例可用于稳定跳动心脏以实现搏动心脏消融手术。 可以通过微创导引器装置等将许多装置引入患者体内。 尽管本发明的装置和方法可用于消融心外膜组织以治疗房颤，但它们也可用于兽医学或研究领域，以治疗心房颤动以外的各种心脏病和/或除心外膜外的心脏组织 。
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公开(公告)号：US20070244476A1
公开(公告)日：2007-10-18
申请号：US11674095
申请日：2007-02-12
申请人： Gary Kochamba , Suzanne Kochamba , Art Bertolero
发明人： Gary Kochamba , Suzanne Kochamba , Art Bertolero
IPC分类号： A61B18/04
CPC分类号： A61B17/02 , A61B2017/00243 , A61B2017/00247 , A61B2017/0243 , A61B2017/306 , A61B2018/00392 , A61F5/05833
摘要： Tissue stabilization and ablation devices and methods provide techniques for stabilizing and ablating body tissues during surgical ablation procedures. In many embodiments, for example, devices may be used in minimally invasive techniques for ablating epicardial tissue adjacent one or more pulmonary veins to treat atrial fibrillation. Tissue stabilization and ablation devices generally include a rigidifying bladder coupled with an ablation member. The devices may additionally include a tissue stabilizing bladder or means within the rigidifying bladder for enhancing tissue stabilization. The rigidifying bladder conforms to a tissue surface and then stiffens to help the device hold its shape and position and to stabilize the tissue. The ablation member is then used to ablate an area of tissue. Such cardiac stabilization and ablation devices and methods may be used to ablate one or more patterns on the epicardial surface of a heart to treat atrial fibrillation and/or other cardiac arrhythmias.
摘要翻译： 组织稳定和消融装置和方法提供了用于在手术消融手术期间稳定和消融身体组织的技术。 在许多实施例中，例如，装置可以用于消融邻近一个或多个肺静脉以治疗心房颤动的心外膜组织的微创技术。 组织稳定和消融装置通常包括与消融构件联接的刚性囊。 装置还可以包括组织稳定囊或硬化囊内的装置，用于增强组织稳定性。 刚性囊与组织表面一致，然后硬化以帮助装置保持其形状和位置并稳定组织。 然后将消融部件用于消融组织的区域。 可以使用这种心脏稳定和消融装置和方法来消融心脏心外膜表面上的一种或多种模式以治疗心房颤动和/或其它心律失常。
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公开(公告)号：US08523759B2
公开(公告)日：2013-09-03
申请号：US13325236
申请日：2011-12-14
申请人： Art Bertolero , Steve Geyster
发明人： Art Bertolero , Steve Geyster
IPC分类号： A61F2/00
CPC分类号： A61B17/0218 , A61B2017/0243
摘要： Methods for performing minimally invasive heart surgery include accessing a heart of a patient through a first incision on the left thorax of the patient, contacting the heart through the incision with a heart stabilizing device and/or a heart positioning device, introducing at least one coupling device through a second incision on the patient located apart from the first incision, coupling the coupling device with the heart stabilizing device or the heart positioning device, and performing a surgical procedure on the heart. Systems may include a retractor device, a heart stabilizing device, and a coupling device, for enhancing cardiac surgery. Any suitable heart surgery may be performed using methods, devices or systems of the present invention. In one embodiment, a CABG procedure is performed.
摘要翻译： 用于进行微创心脏手术的方法包括通过患者的左胸部的第一切口进入患者的心脏，通过切口与心脏稳定装置和/或心脏定位装置接触心脏，引入至少一个联接器 装置通过位于离开第一切口的患者上的第二切口，将联接装置与心脏稳定装置或心脏定位装置联接，并且在心脏上执行外科手术。 系统可以包括用于增强心脏手术的牵开器装置，心脏稳定装置和联接装置。 可以使用本发明的方法，装置或系统来执行任何合适的心脏手术。 在一个实施例中，执行CABG过程。
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公开(公告)号：US07682305B2
公开(公告)日：2010-03-23
申请号：US10731683
申请日：2003-12-08
申请人： Art Bertolero , Steve Geyster
发明人： Art Bertolero , Steve Geyster
IPC分类号： A61F2/00
CPC分类号： A61B17/0218 , A61B2017/0243
摘要： Methods for performing minimally invasive heart surgery include accessing a heart of a patient through a first incision on the left thorax of the patient, contacting the heart through the incision with a heart stabilizing device and/or a heart positioning device, introducing at least one coupling device through a second incision on the patient located apart from the first incision, coupling the coupling device with the heart stabilizing device or the heart positioning device, and performing a surgical procedure on the heart. Systems may include a retractor device, a heart stabilizing device, and a coupling device, for enhancing cardiac surgery. Any suitable heart surgery may be performed using methods, devices or systems of the present invention. In one embodiment, a CABG procedure is performed.
摘要翻译： 用于进行微创心脏手术的方法包括通过患者的左胸部的第一切口进入患者的心脏，通过切口与心脏稳定装置和/或心脏定位装置接触心脏，引入至少一个联接器 装置通过位于离开第一切口的患者上的第二切口，将联接装置与心脏稳定装置或心脏定位装置联接，并且在心脏上执行外科手术。 系统可以包括用于增强心脏手术的牵开器装置，心脏稳定装置和联接装置。 可以使用本发明的方法，装置或系统来执行任何合适的心脏手术。 在一个实施例中，执行CABG过程。
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公开(公告)号：US20100036195A1
公开(公告)日：2010-02-11
申请号：US12579607
申请日：2009-10-15
申请人： Art Bertolero , Steve Geyster
发明人： Art Bertolero , Steve Geyster
IPC分类号： A61B17/00
CPC分类号： A61B17/0218 , A61B2017/0243
摘要： Methods for performing minimally invasive heart surgery include accessing a heart of a patient through a first incision on the left thorax of the patient, contacting the heart through the incision with a heart stabilizing device and/or a heart positioning device, introducing at least one coupling device through a second incision on the patient located apart from the first incision, coupling the coupling device with the heart stabilizing device or the heart positioning device, and performing a surgical procedure on the heart. Systems may include a retractor device, a heart stabilizing device, and a coupling device, for enhancing cardiac surgery. Any suitable heart surgery may be performed using methods, devices or systems of the present invention. In one embodiment, a CABG procedure is performed.
摘要翻译： 用于进行微创心脏手术的方法包括通过患者的左胸部的第一切口进入患者的心脏，通过切口与心脏稳定装置和/或心脏定位装置接触心脏，引入至少一个联接器 装置通过位于离开第一切口的患者上的第二切口，将联接装置与心脏稳定装置或心脏定位装置联接，并且在心脏上执行外科手术。 系统可以包括用于增强心脏手术的牵开器装置，心脏稳定装置和联接装置。 可以使用本发明的方法，装置或系统来执行任何合适的心脏手术。 在一个实施例中，执行CABG过程。
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公开(公告)号：US20120083664A1
公开(公告)日：2012-04-05
申请号：US13325236
申请日：2011-12-14
申请人： Art Bertolero , Steve Geyster
发明人： Art Bertolero , Steve Geyster
IPC分类号： A61B1/32
CPC分类号： A61B17/0218 , A61B2017/0243
摘要： Methods for performing minimally invasive heart surgery include accessing a heart of a patient through a first incision on the left thorax of the patient, contacting the heart through the incision with a heart stabilizing device and/or a heart positioning device, introducing at least one coupling device through a second incision on the patient located apart from the first incision, coupling the coupling device with the heart stabilizing device or the heart positioning device, and performing a surgical procedure on the heart. Systems may include a retractor device, a heart stabilizing device, and a coupling device, for enhancing cardiac surgery. Any suitable heart surgery may be performed using methods, devices or systems of the present invention. In one embodiment, a CABG procedure is performed.
摘要翻译： 用于进行微创心脏手术的方法包括通过患者的左胸部的第一切口进入患者的心脏，通过切口与心脏稳定装置和/或心脏定位装置接触心脏，引入至少一个联接器 装置通过位于离开第一切口的患者上的第二切口，将联接装置与心脏稳定装置或心脏定位装置联接，并且在心脏上执行外科手术。 系统可以包括用于增强心脏手术的牵开器装置，心脏稳定装置和联接装置。 可以使用本发明的方法，装置或系统来执行任何合适的心脏手术。 在一个实施例中，执行CABG过程。
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