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 。

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

IPC分类号： A61B1/12 ,  A61B17/00 ,  A61B17/22 ,  A61B18/00 ,  A61B18/14 ,  A61B18/18

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 。

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 。

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

IPC分类号： A61B18/12 ,  A61N1/02

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 。

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

IPC分类号： A61B20060101 ,  A61B1/12 ,  A61B17/00 ,  A61B17/22 ,  A61B18/00 ,  A61B18/14 ,  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 。

公开(公告)号：US07226448B2

公开(公告)日：2007-06-05

申请号：US10410618

申请日：2003-04-08

申请人： Arthur A. Bertolero ,  Tamer Ibrahim ,  Daniel J. Conley

发明人： Arthur A. 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 。

公开(公告)号：US08696556B2

公开(公告)日：2014-04-15

申请号：US12510500

申请日：2009-07-28

申请人： Tamer Ibrahim ,  Michael J. Banchieri

发明人： Tamer Ibrahim ,  Michael J. Banchieri

IPC分类号： A61B1/32

CPC分类号： A61B17/02 ,  A61B2017/00946 ,  A61B2017/0237 ,  A61B2017/2908 ,  A61B2090/309 ,  A61B2090/508

摘要： Retractor apparatus including a blade and a fluid port and/or a light emitter associated with blade, and surgical systems including an arm and a retractor apparatus.

摘要翻译： 包括叶片和与叶片相关联的流体端口和/或发光体的牵引器装置以及包括臂和牵开器装置的手术系统。

公开(公告)号：US20110152741A1

公开(公告)日：2011-06-23

申请号：US12966924

申请日：2010-12-13

申请人： Michael Banchieri ,  Tamer Ibrahim

发明人： Michael Banchieri ,  Tamer Ibrahim

IPC分类号： A61B17/34 ,  A61M1/36

CPC分类号： A61B17/3498 ,  A61B17/3423 ,  A61M1/3653 ,  A61M1/3659 ,  A61M25/005 ,  A61M25/007 ,  A61M29/00

摘要： A cannula system for removing fluid from a patient's vasculature includes a cannula and an obturator. The cannula includes a proximal end, a distal end, and an elongate flexible tube extending therebetween. The cannula has a central lumen. The obturator is sized for insertion into the cannula's central lumen and is also configured to extend beyond the cannula distal end. A tapered portion at the cannula's distal end provides a smooth transition and an interference fit between the cannula and the obturator. The obturator includes an obturator central lumen and an opening at its distal end that is sized to receive a guidewire.

摘要翻译： 用于从患者的脉管系统中去除流体的套管系统包括套管和闭塞器。 套管包括近端，远端和在它们之间延伸的细长柔性管。 套管具有中央腔。 闭塞器的尺寸适于插入插管的中心腔，并且还被构造成延伸超过套管远端。 插管远端的锥形部分提供了平滑的过渡和插管与闭孔之间的过盈配合。 闭塞器包括闭孔器中心腔和其远端处的开口，其尺寸设置成接收导丝。

公开(公告)号：US07931579B2

公开(公告)日：2011-04-26

申请号：US11512796

申请日：2006-08-29

申请人： Arthur A. Bertolero ,  Tamer Ibrahim

发明人： Arthur A. Bertolero ,  Tamer Ibrahim

IPC分类号： A61F13/00

CPC分类号： A61B17/0206 ,  A61B2017/0237 ,  A61B2017/308

摘要： Apparatus and methods for stabilizing and/or positioning tissues or organs during surgical procedures. One feature of the positioners of the invention includes the use of one or more suction elements used to grip the organ or tissue. The main body of the suction element comprises body defining a polyhedral shaped chamber, an elliptical ring structure and a vacuum port. The invention further includes structures to support the suction element and hold the suction element and attached tissue in a fixed position including catheters, lockable flexible arms, and retractors.

摘要翻译： 用于在外科手术过程中稳定和/或定位组织或器官的装置和方法。 本发明的定位器的一个特征包括使用一个或多个用于夹紧器官或组织的抽吸元件。 抽吸元件的主体包括限定多面体形状的室，椭圆环结构和真空端口的主体。 本发明还包括用于支撑抽吸元件并将抽吸元件和附着的组织保持在包括导管，可锁定的柔性臂和牵开器的固定位置的结构。

公开(公告)号：US20110060331A1

公开(公告)日：2011-03-10

申请号：US12781072

申请日：2010-05-17

申请人： Tamer Ibrahim ,  David K. Swanson

发明人： Tamer Ibrahim ,  David K. Swanson

IPC分类号： A61B18/14

CPC分类号： A61B18/1492 ,  A61B18/06 ,  A61B18/22 ,  A61B2018/00214 ,  A61B2018/0022 ,  A61B2018/00273 ,  A61B2018/00357 ,  A61B2018/00375 ,  A61B2018/00702 ,  A61B2018/00791 ,  A61B2018/00898 ,  A61B2018/0212 ,  A61B2018/1807 ,  A61B2018/1861 ,  A61B2218/002 ,  A61N7/022

摘要： Systems and methods for forming a lesion on an endocardial tissue of a patient's heart involve placing an ablation assembly inside of the heart and adjacent to the endocardial tissue, and placing a guiding assembly outside of the heart. An ablation assembly includes an ablation element and a first attraction element, and a guiding assembly includes a second attraction element. First and second attraction elements can be attracted via magnetism. Techniques involve forming an ablation on the cardiac tissue of a patient's heart with an ablation element of the ablation assembly. Optionally, techniques may include moving the second attraction element of the guiding assembly relative to the patient's heart, so as to effect a corresponding movement of the ablation element of the ablation assembly.

摘要翻译： 用于在患者心脏的心内膜组织上形成损伤的系统和方法包括将消融组件放置在心脏内部并且邻近心内膜组织，并将引导组件放置在心脏外部。 消融组件包括消融元件和第一吸引元件，并且引导组件包括第二吸引元件。 第一和第二吸引元素可以通过磁力吸引。 技术涉及用消融组件的消融元件在患者心脏的心脏组织上形成消融。 可选地，技术可以包括相对于患者的心脏移动引导组件的第二吸引元件，以便实现消融组件的消融元件的相应运动。