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    Tissue positioner
    1.
    发明授权
    Tissue positioner 有权
    组织定位器

    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。

    LEFT ATRIAL APPENDAGE DEVICES AND METHODS
    2.
    发明申请
    LEFT ATRIAL APPENDAGE DEVICES AND METHODS 审中-公开
    左边的附件设备和方法

    公开(公告)号：US20110009853A1

    公开(公告)日：2011-01-13

    申请号：US12886436

    申请日：2010-09-20

    申请人： Arthur A. Bertolero ,  Tamer Ibrahim ,  Steve Geyster

    发明人： Arthur A. Bertolero ,  Tamer Ibrahim ,  Steve Geyster

    IPC分类号： A61B18/20 ,  A61B17/08 ,  A61B17/10 ,  A61B18/18

    CPC分类号： A61B17/083 ,  A61B17/0057 ,  A61B17/068 ,  A61B17/08 ,  A61B17/122 ,  A61B17/1285 ,  A61B17/320016 ,  A61B2017/00243

    摘要： Devices and methods for clamping tissue and/or moving two tissue structures together by moving two plates or arm together. The pressure or force applied to the tissue may be used to bring the tissue together, to seal an opening or to cut through and remove a portion of the tissue. In one procedure disclosed, a clip applier may be used to apply one or more clips to the left atrial appendage of the heart to prevent clots from the left atrial appendage from embolizing and causing harm to the patient, such as a stroke.

    摘要翻译： 通过将两个板或臂一起移动来夹紧组织和/或移动两个组织结构在一起的装置和方法。 施加到组织的压力或力可以用于将组织带到一起，以密封开口或切割并去除组织的一部分。 在所公开的一个程序中，施夹器可用于将一个或多个夹子应用于心脏的左心耳，以防止左心耳附近的血栓栓塞并对患者造成伤害，例如中风。

    Cardiac treatment devices and methods
    3.
    发明授权
    Cardiac treatment devices and methods 有权
    心脏治疗装置及方法

    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 。

    Cardiac ablation devices and methods
    4.
    发明授权
    Cardiac ablation devices and methods 有权
    心脏消融装置及方法

    公开(公告)号：US08545498B2

    公开(公告)日：2013-10-01

    申请号：US12564821

    申请日：2009-09-22

    申请人： Arthur A. Bertolero ,  Tamer Ibrahim

    发明人： Arthur A. Bertolero ,  Tamer Ibrahim

    IPC分类号： A61B18/18

    CPC分类号： A61B18/00 ,  A61B1/12 ,  A61B5/0536 ,  A61B18/14 ,  A61B18/1402 ,  A61B18/1442 ,  A61B18/1477 ,  A61B18/148 ,  A61B18/1492 ,  A61B18/18 ,  A61B18/20 ,  A61B2017/00243 ,  A61B2017/22051 ,  A61B2017/2945 ,  A61B2018/00011 ,  A61B2018/00023 ,  A61B2018/00029 ,  A61B2018/00083 ,  A61B2018/0022 ,  A61B2018/00291 ,  A61B2018/00345 ,  A61B2018/00351 ,  A61B2018/00363 ,  A61B2018/00375 ,  A61B2018/00404 ,  A61B2018/00577 ,  A61B2018/00875 ,  A61B2018/00982 ,  A61B2018/0225 ,  A61B2018/0262 ,  A61B2018/126 ,  A61B2018/1425 ,  A61B2018/1432 ,  A61B2090/373 ,  A61B2090/378 ,  A61N1/0587

    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 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。 虽然这些装置和方法通常用于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 。

    CARDIAC ABLATION DEVICES AND METHODS
    5.
    发明申请
    CARDIAC ABLATION DEVICES AND METHODS 有权
    心脏消融装置和方法

    公开(公告)号：US20100016851A1

    公开(公告)日：2010-01-21

    申请号：US12564821

    申请日：2009-09-22

    申请人： Arthur A. Bertolero ,  Tamer Ibrahim

    发明人： Arthur A. Bertolero ,  Tamer Ibrahim

    IPC分类号： A61B18/14

    CPC分类号： A61B18/00 ,  A61B1/12 ,  A61B5/0536 ,  A61B18/14 ,  A61B18/1402 ,  A61B18/1442 ,  A61B18/1477 ,  A61B18/148 ,  A61B18/1492 ,  A61B18/18 ,  A61B18/20 ,  A61B2017/00243 ,  A61B2017/22051 ,  A61B2017/2945 ,  A61B2018/00011 ,  A61B2018/00023 ,  A61B2018/00029 ,  A61B2018/00083 ,  A61B2018/0022 ,  A61B2018/00291 ,  A61B2018/00345 ,  A61B2018/00351 ,  A61B2018/00363 ,  A61B2018/00375 ,  A61B2018/00404 ,  A61B2018/00577 ,  A61B2018/00875 ,  A61B2018/00982 ,  A61B2018/0225 ,  A61B2018/0262 ,  A61B2018/126 ,  A61B2018/1425 ,  A61B2018/1432 ,  A61B2090/373 ,  A61B2090/378 ,  A61N1/0587

    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 。

    Tissue stabilizer
    6.
    发明授权
    Tissue stabilizer 有权
    组织稳定剂

    公开(公告)号：US07018328B2

    公开(公告)日：2006-03-28

    申请号：US10297791

    申请日：2001-02-09

    申请人： Larry F. Mager ,  Jerome B. Riebman ,  Raymond Bertolero ,  Arthur A Bertolero ,  Tamer Ibrahim

    发明人： Larry F. Mager ,  Jerome B. Riebman ,  Raymond Bertolero ,  Arthur A Bertolero ,  Tamer Ibrahim

    IPC分类号： A61F2/00

    CPC分类号： A61B17/02 ,  A61B17/0218 ,  A61B17/8085 ,  A61B2017/00243 ,  A61B2017/00429 ,  A61B2017/00858 ,  A61B2017/0243 ,  A61B2017/306

    摘要： A tissue stabilizer is disclosed that comprises a malleable planer foot integrated into a flexible membrane and is useful for stabilizing tissue such as the heart while performing surgery thereon. The malleable planar foot has an open central region and a rigid arm connected to the foot. The membrane integrated with the foot has a shape approximating the foot, a lower section having a bottom surface for contacting the tissue to be stabilized, and an upper section opposite the lower section. The membrane has an inner chamber in fluid communication through an opening with a plurality of suction ports on the bottom surface. An outlet port connects the inner chamber and suction ports to a negative pressure source. The tissue stabilizer has a centrally-located open region through which the tissue to be stabilized can be accessed and is designed so that when the bottom surface of the membrane is positioned on a tissue to be stabilized and a negative pressure is applied to the outlet port, the bottom surface tends to conform to the surface contour of the tissue to be stabilized through the action of suction by the ports and compression by the foot.

    摘要翻译： 公开了一种组织稳定器，其包括整合到柔性膜中的可延展的刨床，并且在对其进行手术时可用于稳定诸如心脏的组织。 可延展的平面脚具有敞开的中心区域和连接到脚部的刚性臂。 与脚一体化的膜具有接近脚的形状，下部具有用于接触要稳定的组织的底表面和与下部相对的上部。 膜具有通过具有在底表面上的多个吸入口的开口流体连通的内室。 出口将内腔和吸入口连接到负压源。 组织稳定器具有中心定位的开放区域，待稳定的组织可通过该开口区域被设计成使得当膜的底表面位于要稳定的组织上并且负压施加到出口 通过端口的吸力作用和脚的压缩，底面趋于与待稳定的组织的表面轮廓一致。

    Method for ablating heart tissue to treat a cardiac arrhythmia
    9.
    发明授权
    Method for ablating heart tissue to treat a cardiac arrhythmia 有权
    消融心脏组织治疗心律失常的方法

    公开(公告)号：US08454593B2

    公开(公告)日：2013-06-04

    申请号：US12218406

    申请日：2008-07-14

    申请人： Arthur A. Bertolero ,  Tamer Ibrahim

    发明人： Arthur A. Bertolero ,  Tamer Ibrahim

    IPC分类号： A61B18/18

    CPC分类号： A61B18/12 ,  A61B1/12 ,  A61B5/0536 ,  A61B18/14 ,  A61B18/1402 ,  A61B18/1442 ,  A61B18/1477 ,  A61B18/148 ,  A61B18/1492 ,  A61B18/18 ,  A61B18/20 ,  A61B2017/00243 ,  A61B2017/22051 ,  A61B2017/2945 ,  A61B2018/00011 ,  A61B2018/00023 ,  A61B2018/00029 ,  A61B2018/00083 ,  A61B2018/0022 ,  A61B2018/00291 ,  A61B2018/00345 ,  A61B2018/00351 ,  A61B2018/00363 ,  A61B2018/00375 ,  A61B2018/00404 ,  A61B2018/00577 ,  A61B2018/00875 ,  A61B2018/00982 ,  A61B2018/0225 ,  A61B2018/0262 ,  A61B2018/126 ,  A61B2018/1425 ,  A61B2018/1432 ,  A61B2090/373 ,  A61B2090/378 ,  A61N1/0587

    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 。