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    Apparatus for Treating Venous Insufficiency Using Directionally Applied Energy
    1.
    发明申请
    Apparatus for Treating Venous Insufficiency Using Directionally Applied Energy 有权
    使用定向应用能量治疗静脉功能不全的装置

    公开(公告)号：US20110202047A1

    公开(公告)日：2011-08-18

    申请号：US13095335

    申请日：2011-04-27

    申请人： Brian E. Farley ,  Michael D. Laufer ,  Dawn A. Henderson ,  Douglas M. Petty ,  Mark K. Parker

    发明人： Brian E. Farley ,  Michael D. Laufer ,  Dawn A. Henderson ,  Douglas M. Petty ,  Mark K. Parker

    IPC分类号： A61B18/22

    CPC分类号： A61B18/1492 ,  A61B17/00008 ,  A61B2018/00214 ,  A61B2018/0022 ,  A61B2018/00267 ,  A61B2018/00404 ,  A61B2018/1253 ,  A61B2018/126

    摘要： A catheter introduces electrodes in a vein for a minimally invasive treatment of venous insufficiency by the application of energy to cause selective heating of the vein. The catheter is positioned within the vein to be treated, and the electrodes on the catheter are moved toward one side of the vein. RF energy is applied in a directional manner from the electrodes at the working end of the catheter to cause localized heating and corresponding shrinkage of the adjacent venous tissue, which may include commissures, leaflets and ostia. Fluoroscopy or ultrasound may be used to detect shrinkage of the vein. After treating one section of the vein, the catheter can be repositioned to place the electrodes to treat different sections of the vein until all desired venous valves are repaired and rendered functionally competent.

    摘要翻译： 导管通过施加能量来引起静脉的选择性加热，将电极引入静脉中用于微创治疗静脉功能不全。 将导管定位在待治疗的静脉内，导管上的电极向静脉的一侧移动。 射频能量以定向方式从导管的工作端处的电极施加，以引起相邻静脉组织的局部加热和相应的收缩，其可以包括连合，小叶和口。 荧光透视或超声可用于检测静脉的收缩。 在治疗静脉的一部分之后，可以重新定位导管以放置电极来治疗静脉的不同部分，直到所有期望的静脉瓣被修复并且具有功能上的能力。

    Method and apparatus for treating venous insufficiency using directionally applied energy
    2.
    发明授权
    Method and apparatus for treating venous insufficiency using directionally applied energy 有权
    使用定向施加能量治疗静脉功能不全的方法和装置

    公开(公告)号：US08291915B2

    公开(公告)日：2012-10-23

    申请号：US13095335

    申请日：2011-04-27

    申请人： Brian E. Farley ,  Michael D. Laufer ,  Dawn A. Henderson ,  Douglas M. Petty ,  Mark K. Parker

    发明人： Brian E. Farley ,  Michael D. Laufer ,  Dawn A. Henderson ,  Douglas M. Petty ,  Mark K. Parker

    IPC分类号： A61B19/00

    CPC分类号： A61B18/1492 ,  A61B17/00008 ,  A61B2018/00214 ,  A61B2018/0022 ,  A61B2018/00267 ,  A61B2018/00404 ,  A61B2018/1253 ,  A61B2018/126

    摘要： A catheter introduces electrodes in a vein for a minimally invasive treatment of venous insufficiency by the application of energy to cause selective heating of the vein. The catheter is positioned within the vein to be treated, and the electrodes on the catheter are moved toward one side of the vein. RF energy is applied in a directional manner from the electrodes at the working end of the catheter to cause localized heating and corresponding shrinkage of the adjacent venous tissue, which may include commissures, leaflets and ostia. Fluoroscopy or ultrasound may be used to detect shrinkage of the vein. After treating one section of the vein, the catheter can be repositioned to place the electrodes to treat different sections of the vein until all desired venous valves are repaired and rendered functionally competent.

    摘要翻译： 导管通过施加能量来引起静脉的选择性加热，将电极引入静脉中用于微创治疗静脉功能不全。 将导管定位在待治疗的静脉内，导管上的电极向静脉的一侧移动。 射频能量以定向方式从导管的工作端处的电极施加，以引起相邻静脉组织的局部加热和相应的收缩，其可以包括连合，小叶和口。 荧光透视或超声可用于检测静脉的收缩。 在治疗静脉的一部分之后，可以重新定位导管以放置电极来治疗静脉的不同部分，直到所有期望的静脉瓣被修复并具有功能上的能力。

    Method of using expandable vein ligator catheter having multiple electrode leads
    6.
    发明授权
    Method of using expandable vein ligator catheter having multiple electrode leads 有权
    使用具有多个电极引线的可扩张静脉连接器导管的方法

    公开(公告)号：US07406970B2

    公开(公告)日：2008-08-05

    申请号：US10900563

    申请日：2004-07-28

    申请人： Arthur W. Zikorus ,  Mark P. Parker ,  Christopher S. Jones ,  Douglas M. Petty ,  Brian E. Farley ,  Joseph M. Tartaglia

    发明人： Arthur W. Zikorus ,  Mark P. Parker ,  Christopher S. Jones ,  Douglas M. Petty ,  Brian E. Farley ,  Joseph M. Tartaglia

    IPC分类号： A61F5/56 ,  A61B18/18 ,  A61B18/20

    CPC分类号： A61B18/1492 ,  A61B2017/00084 ,  A61B2017/22038 ,  A61B2017/22051 ,  A61B2018/00214 ,  A61B2018/0022 ,  A61B2018/00404 ,  A61B2018/124 ,  A61B2018/1253 ,  A61B2018/126 ,  A61B2018/1475 ,  A61B2090/3782 ,  A61B2218/002

    摘要： A catheter includes a plurality of primary leads to deliver energy for ligating a hollow anatomical structure. Each of the primary leads includes an electrode located at the working end of the catheter. Separation is maintained between the primary leads such that each primary lead can individually receive power of selected polarity. The primary leads are constructed to expand outwardly to place the electrodes into apposition with an anatomical structure. High frequency energy can be applied from the leads to create a heating effect in the surrounding tissue of the anatomical structure. The diameter of the hollow anatomical structure is reduced by the heating effect, and the electrodes of the primary leads are moved closer to one another. Where the hollow anatomical structure is a vein, energy is applied until the diameter of the vein is reduced to the point where the vein is occluded. In one embodiment, a secondary lead is surrounded by the primary leads, and extends beyond the primary leads. The secondary lead includes an electrode at the working end of the catheter. The secondary lead can have a polarity opposite to the polarity of the primary leads in a bipolar configuration. The polarity of the leads can be switched and the catheter can be moved during treatment to ligate an extended length of the vein. The catheter can include a lumen to accommodate a guide wire or to allow fluid delivery.

    摘要翻译： 导管包括多个主引线以传递用于结扎中空解剖结构的能量。 每个主引线包括位于导管工作端的电极。 在主引线之间保持分离，使得每个主引线可以分别接收所选极性的功率。 主引线被构造成向外扩展以使电极与解剖结构相配合。 可以从引线施加高频能量以在解剖结构的周围组织中产生加热效果。 中空解剖结构的直径由于加热效应而降低，并且主引线的电极彼此靠近地移动。 当中空解剖结构为静脉时，施加能量直到静脉的直径减小到静脉闭塞的位置。 在一个实施例中，次级引线被主引线包围，并且延伸超出主引线。 次级引线包括在导管的工作端的电极。 次级引线可以具有与双极配置中的主引线的极性相反的极性。 可以切换引线的极性，并且可以在治疗期间移动导管以连接延长的静脉长度。 导管可以包括用于容纳导丝或者允许流体输送的内腔。

    Expandable vein ligator catheter having multiple electrode leads, and method
    7.
    发明授权
    Expandable vein ligator catheter having multiple electrode leads, and method 有权
    具有多个电极引线的可扩展静脉结扎器导管及方法

    公开(公告)号：US06769433B2

    公开(公告)日：2004-08-03

    申请号：US09866517

    申请日：2001-05-25

    申请人： Arthur W. Zikorus ,  Mark P. Parker ,  Christopher S. Jones ,  Douglas M. Petty ,  Brian E. Farley ,  Joseph M. Tartaglia

    发明人： Arthur W. Zikorus ,  Mark P. Parker ,  Christopher S. Jones ,  Douglas M. Petty ,  Brian E. Farley ,  Joseph M. Tartaglia

    IPC分类号： A61F556

    CPC分类号： A61B18/1492 ,  A61B2017/00084 ,  A61B2017/22038 ,  A61B2017/22051 ,  A61B2018/00214 ,  A61B2018/0022 ,  A61B2018/00404 ,  A61B2018/124 ,  A61B2018/1253 ,  A61B2018/126 ,  A61B2018/1475 ,  A61B2090/3782 ,  A61B2218/002

    摘要： A catheter includes a plurality of primary leads to deliver energy for ligating a hollow anatomical structure. Each of the primary leads includes an electrode located at the working end of the catheter. Separation is maintained between the primary leads such that each primary lead can individually receive power of selected polarity. The primary leads are constructed to expand outwardly to place the electrodes into apposition with an anatomical structure. High frequency energy can be applied from the leads to create a heating effect in the surrounding tissue of the anatomical structure. The diameter of the hollow anatomical structure is reduced by the heating effect, and the electrodes of the primary leads are moved closer to one another. Where the hollow anatomical structure is a vein, energy is applied until the diameter of the vein is reduced to the point where the vein is occluded. In one embodiment, a secondary lead is surrounded by the primary leads, and extends beyond the primary leads. The secondary lead includes an electrode at the working end of the catheter. The secondary lead can have a polarity opposite to the polarity of the primary leads in a bipolar configuration. The polarity of the leads can be switched and the catheter can be moved during treatment to ligate an extended length of the vein. The catheter can include a lumen to accommodate a guide wire or to allow fluid delivery.

    摘要翻译： 导管包括多个主引线以传递用于结扎中空解剖结构的能量。 每个主引线包括位于导管工作端的电极。 在主引线之间保持分离，使得每个主引线可以分别接收所选极性的功率。 主引线被构造成向外扩展以使电极与解剖结构相配合。 可以从引线施加高频能量以在解剖结构的周围组织中产生加热效果。 中空解剖结构的直径由于加热效应而降低，并且主引线的电极彼此靠近地移动。 当中空解剖结构为静脉时，施加能量直到静脉的直径减小到静脉闭塞的位置。 在一个实施例中，次级引线被主引线包围，并且延伸超出主引线。 次级引线包括在导管的工作端的电极。 次级引线可以具有与双极配置中的主引线的极性相反的极性。 可以切换引线的极性，并且可以在治疗期间移动导管以连接延长的静脉长度。 导管可以包括用于容纳导丝或者允许流体输送的内腔。

    Expandable vein ligator catheter having multiple electrode leads, and method
    8.
    发明授权
    Expandable vein ligator catheter having multiple electrode leads, and method 失效
    具有多个电极引线的可扩展静脉结扎器导管及方法

    公开(公告)号：US08679110B2

    公开(公告)日：2014-03-25

    申请号：US12181277

    申请日：2008-07-28

    申请人： Arthur W. Zikorus ,  Mark P. Parker ,  Christopher S. Jones ,  Douglas M. Petty ,  Brian E. Farley ,  Joseph M. Tartaglia

    发明人： Arthur W. Zikorus ,  Mark P. Parker ,  Christopher S. Jones ,  Douglas M. Petty ,  Brian E. Farley ,  Joseph M. Tartaglia

    IPC分类号： A61F5/56 ,  A61B18/18 ,  A61B18/20

    CPC分类号： A61B18/1492 ,  A61B2017/00084 ,  A61B2017/22038 ,  A61B2017/22051 ,  A61B2018/00214 ,  A61B2018/0022 ,  A61B2018/00404 ,  A61B2018/124 ,  A61B2018/1253 ,  A61B2018/126 ,  A61B2018/1475 ,  A61B2090/3782 ,  A61B2218/002

    摘要： A catheter includes a plurality of primary leads to deliver energy for ligating a hollow anatomical structure. Each of the primary leads includes an electrode located at the working end of the catheter. Separation is maintained between the primary leads such that each primary lead can individually receive power of selected polarity. The primary leads are constructed to expand outwardly to place the electrodes into apposition with an anatomical structure. High frequency energy can be applied from the leads to create a heating effect in the surrounding tissue of the anatomical structure. The diameter of the hollow anatomical structure is reduced by the heating effect, and the electrodes of the primary leads are moved closer to one another. Where the hollow anatomical structure is a vein, energy is applied until the diameter of the vein is reduced to the point where the vein is occluded. In one embodiment, a secondary lead is surrounded by the primary leads, and extends beyond the primary leads. The secondary lead includes an electrode at the working end of the catheter. The secondary lead can have a polarity opposite to the polarity of the primary leads in a bipolar configuration. The polarity of the leads can be switched and the catheter can be moved during treatment to ligate an extended length of the vein. The catheter can include a lumen to accommodate a guide wire or to allow fluid delivery.

    摘要翻译： 导管包括多个主引线以传递用于结扎中空解剖结构的能量。 每个主引线包括位于导管工作端的电极。 在主引线之间保持分离，使得每个主引线可以分别接收所选极性的功率。 主引线被构造成向外扩展以使电极与解剖结构相配合。 可以从引线施加高频能量以在解剖结构的周围组织中产生加热效果。 中空解剖结构的直径由于加热效应而降低，并且主引线的电极彼此靠近地移动。 当中空解剖结构为静脉时，施加能量直到静脉的直径减小到静脉闭塞的位置。 在一个实施例中，次级引线被主引线包围，并且延伸超出主引线。 次级引线包括在导管的工作端的电极。 次级引线可以具有与双极配置中的主引线的极性相反的极性。 可以切换引线的极性，并且可以在治疗期间移动导管以连接延长的静脉长度。 导管可以包括用于容纳导丝或者允许流体输送的内腔。

    Method of applying energy to tissue with expandable ligator catheter having multiple electrode leads
    9.
    发明授权
    Method of applying energy to tissue with expandable ligator catheter having multiple electrode leads 有权
    用具有多个电极引线的可扩张的连接管导管向组织施加能量的方法

    公开(公告)号：US06237606B1

    公开(公告)日：2001-05-29

    申请号：US09267756

    申请日：1999-03-10

    申请人： Arthur W. Zikorus ,  Mark P. Parker ,  Christopher S. Jones ,  Douglas M. Petty ,  Brian E. Farley ,  Joseph M. Tartaglia

    发明人： Arthur W. Zikorus ,  Mark P. Parker ,  Christopher S. Jones ,  Douglas M. Petty ,  Brian E. Farley ,  Joseph M. Tartaglia

    IPC分类号： A61B1900

    CPC分类号： A61B18/1492 ,  A61B2017/00084 ,  A61B2017/22038 ,  A61B2017/22051 ,  A61B2018/00214 ,  A61B2018/0022 ,  A61B2018/00404 ,  A61B2018/124 ,  A61B2018/1253 ,  A61B2018/126 ,  A61B2018/1475 ,  A61B2090/3782 ,  A61B2218/002

    摘要： A catheter includes a plurality of primary leads to deliver energy for ligating a hollow anatomical structure. Each of the primary leads includes an electrode located at the working end of the catheter. Separation is maintained between the primary leads such that each primary lead can individually receive power of selected polarity. The primary leads are constructed to expand outwardly to place the electrodes into apposition with an anatomical structure. High frequency energy can be applied from the leads to create a heating effect in the surrounding tissue of the anatomical structure. The diameter of the hollow anatomical structure is reduced by the heating effect, and the electrodes of the primary leads are moved closer to one another. Where the hollow anatomical structure is a vein, energy is applied until the diameter of the vein is reduced to the point where the vein is occluded. In one embodiment, a secondary lead is surrounded by the primary leads, and extends beyond the primary leads. The secondary lead includes an electrode at the working end of the catheter. The secondary lead can have a polarity opposite to the polarity of the primary leads in a bipolar configuration. The polarity of the leads can be switched and the catheter can be moved during treatment to ligate an extended length of the vein. The catheter can include a lumen to accommodate a guide wire or to allow fluid delivery.

    摘要翻译： 导管包括多个主引线以传递用于结扎中空解剖结构的能量。 每个主引线包括位于导管工作端的电极。 在主引线之间保持分离，使得每个主引线可以分别接收所选极性的功率。 主引线被构造成向外扩展以使电极与解剖结构相配合。 可以从引线施加高频能量以在解剖结构的周围组织中产生加热效果。 中空解剖结构的直径由于加热效应而降低，并且主引线的电极彼此靠近地移动。 当中空解剖结构为静脉时，施加能量直到静脉的直径减小到静脉闭塞的位置。 在一个实施例中，次级引线被主引线包围，并且延伸超出主引线。 次级引线包括在导管的工作端的电极。 次级引线可以具有与双极配置中的主引线的极性相反的极性。 可以切换引线的极性，并且可以在治疗期间移动导管以连接延长的静脉长度。 导管可以包括用于容纳导丝或者允许流体输送的内腔。

    EXPANDABLE VEIN LIGATOR CATHETER HAVING MULTIPLE ELECTRODE LEADS, AND METHOD
    10.
    发明申请
    EXPANDABLE VEIN LIGATOR CATHETER HAVING MULTIPLE ELECTRODE LEADS, AND METHOD 失效
    具有多个电极引线的可扩展的导管引线和方法

    公开(公告)号：US20090137998A1

    公开(公告)日：2009-05-28

    申请号：US12181277

    申请日：2008-07-28

    申请人： Arthur W. Zikorus ,  Mark P. Parker ,  Christopher S. Jones ,  Douglas M. Petty ,  Brian E. Farley ,  Joseph M. Tartaglia

    发明人： Arthur W. Zikorus ,  Mark P. Parker ,  Christopher S. Jones ,  Douglas M. Petty ,  Brian E. Farley ,  Joseph M. Tartaglia

    IPC分类号： A61B18/18

    CPC分类号： A61B18/1492 ,  A61B2017/00084 ,  A61B2017/22038 ,  A61B2017/22051 ,  A61B2018/00214 ,  A61B2018/0022 ,  A61B2018/00404 ,  A61B2018/124 ,  A61B2018/1253 ,  A61B2018/126 ,  A61B2018/1475 ,  A61B2090/3782 ,  A61B2218/002

    摘要： A catheter includes a plurality of primary leads to deliver energy for ligating a hollow anatomical structure. Each of the primary leads includes an electrode located at the working end of the catheter. Separation is maintained between the primary leads such that each primary lead can individually receive power of selected polarity. The primary leads are constructed to expand outwardly to place the electrodes into apposition with an anatomical structure. High frequency energy can be applied from the leads to create a heating effect in the surrounding tissue of the anatomical structure. The diameter of the hollow anatomical structure is reduced by the heating effect, and the electrodes of the primary leads are moved closer to one another. Where the hollow anatomical structure is a vein, energy is applied until the diameter of the vein is reduced to the point where the vein is occluded. In one embodiment, a secondary lead is surrounded by the primary leads, and extends beyond the primary leads. The secondary lead includes an electrode at the working end of the catheter. The secondary lead can have a polarity opposite to the polarity of the primary leads in a bipolar configuration. The polarity of the leads can be switched and the catheter can be moved during treatment to ligate an extended length of the vein. The catheter can include a lumen to accommodate a guide wire or to allow fluid delivery.

    摘要翻译： 导管包括多个主引线以传递用于结扎中空解剖结构的能量。 每个主引线包括位于导管工作端的电极。 在主引线之间保持分离，使得每个主引线可以分别接收所选极性的功率。 主引线被构造成向外扩展以使电极与解剖结构相配合。 可以从引线施加高频能量以在解剖结构的周围组织中产生加热效果。 中空解剖结构的直径由于加热效应而降低，并且主引线的电极彼此靠近地移动。 当中空解剖结构为静脉时，施加能量直到静脉的直径减小到静脉闭塞的位置。 在一个实施例中，次级引线被主引线包围，并且延伸超出主引线。 次级引线包括在导管的工作端的电极。 次级引线可以具有与双极配置中的主引线的极性相反的极性。 可以切换引线的极性，并且可以在治疗期间移动导管以连接延长的静脉长度。 导管可以包括用于容纳导丝或者允许流体输送的内腔。