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    Device and method for ablation of cardiac tissue
    1.
    发明授权
    Device and method for ablation of cardiac tissue 失效
    心脏组织消融的装置和方法

    公开(公告)号：US08414573B2

    公开(公告)日：2013-04-09

    申请号：US11545829

    申请日：2006-10-11

    申请人： David E. Francischelli

    发明人： David E. Francischelli

    IPC分类号： A61B18/18 ,  A61F7/00

    CPC分类号： A61B18/1402 ,  A61B2018/00809 ,  A61B2018/1472

    摘要： Methods for delivering precise amounts of fluid into cardiac tissue for the purpose of facilitating ablation of the tissue along a desired lesion line. One method injects fluid through a hollow needle. The injected fluid can be a highly conductive fluid injected in conjunction with radiofrequency ablation to create an ablative virtual electrode. The injected conductive fluid can provide deeper and narrower conduction paths and resulting lesions. Radiofrequency ablation can be performed at the same time as the fluid injection, using the injection device as an electrode, or subsequent to the fluid injection, using a separate device. In some methods, the injected fluid is a protective fluid, injected to protect tissue adjacent to the desired lesion line. Fluid delivery can be endocardial, epicardial, and epicardial on a beating heart. The present methods find one use in performing maze procedures to treat atrial fibrillation.

    摘要翻译： 用于将精确量的流体输送到心脏组织中以便于沿着期望的损伤线消融组织的方法。 一种方法通过中空针头注入流体。 注射的流体可以是与射频消融一起注入的高导电流体，以产生消融的虚拟电极。 注射的导电流体可以提供更深和更窄的传导路径和所导致的损伤。 射频消融可以在使用注射装置作为电极或在流体注射之后使用单独的装置与流体注射同时进行。 在一些方法中，注射的流体是保护性流体，被注射以保护邻近所需病变线的组织。 流体输送可以是搏动心脏的心内膜，心外膜和心外膜。 本方法可用于进行迷宫手术来治疗房颤。

    Method and Apparatus for Tissue Ablation
    2.
    发明申请
    Method and Apparatus for Tissue Ablation 审中-公开
    组织消融的方法和装置

    公开(公告)号：US20120277736A1

    公开(公告)日：2012-11-01

    申请号：US13492466

    申请日：2012-06-08

    申请人： David E. Francischelli

    发明人： David E. Francischelli

    IPC分类号： A61B18/14 ,  A61B18/02 ,  A61B18/18

    CPC分类号： A61B18/1445 ,  A61B18/1402 ,  A61B18/1442 ,  A61B2018/00994 ,  A61B2018/126 ,  A61B2018/1472

    摘要： A method for ablation in which a portion of atrial tissue around the pulmonary veins of the heart is ablated by a first elongated ablation component and a second elongated ablation component movable relative to the first ablation component and having means for magnetically attracting the first and second components toward one another. The magnetic means draw the first and second components toward one another to compress the atrial tissue therebetween, along the length of the first and second components and thereby position the device for ablation of the tissue.

    摘要翻译： 一种消融方法，其中通过第一细长消融部件消除心脏周围的肺静脉周围的一部分心房组织，并且第二细长消融部件可相对于第一消融部件移动并且具有用于磁吸引第一和第二部件的装置 朝向彼此 磁性装置沿着第一和第二部件的长度将第一和第二部件彼此拉伸以压缩其间的心房组织，从而定位用于组织消融的装置。

    ABLATION DEVICE AND METHOD FOR CREATING AN ELONGATE LESION USING SELECTIVELY ACTUATED TRANSDUCER CONTROLLED BY LESION COMPLETION SENSOR
    3.
    发明申请
    ABLATION DEVICE AND METHOD FOR CREATING AN ELONGATE LESION USING SELECTIVELY ACTUATED TRANSDUCER CONTROLLED BY LESION COMPLETION SENSOR 审中-公开
    使用通过LESION完成传感器控制的选择性致动传感器创建一个ELENATE LESION的消除装置和方法

    公开(公告)号：US20110208054A1

    公开(公告)日：2011-08-25

    申请号：US12712613

    申请日：2010-02-25

    申请人： Mark T. Stewart ,  David E. Francischelli

    发明人： Mark T. Stewart ,  David E. Francischelli

    IPC分类号： A61B18/14 ,  A61B8/00

    CPC分类号： A61N7/02 ,  A61B8/485 ,  A61B8/5223 ,  A61B2017/00106 ,  A61B2018/00577 ,  A61B2018/00839 ,  A61N2007/0065 ,  A61N2007/0095 ,  A61N2007/027

    摘要： Device, system and method for evaluating the effectiveness of tissue ablations of a heart of a patient. The tissue is clamped between a pair of opposing jaws. A portion of the tissue is ablated at a first generally linear position on the tissue by applying ablative energy to two of a plurality of elongate electrodes, each of the two of the plurality of elongate electrodes being coupled in opposing relationship to each other and the pair of opposing jaws, respectively. An effectiveness of the ablation is sensed at a second generally linear position on the tissue with at least one of the plurality of elongate electrodes positioned on one of the pair of opposing jaws. The second linear position on the tissue is laterally distal to the first linear position on the tissue with respect to the atrium of the heart.

    摘要翻译： 用于评估患者心脏组织消融有效性的装置，系统和方法。 将组织夹在一对相对的夹爪之间。 通过向多个细长电极中的两个施加烧蚀能量，组织的一部分在组织上的第一大致线性位置被消融，多个细长电极中的每一个彼此相对地相互耦合，并且该对 的对颚分别。 在组织上的第二大致直线位置处感测消融的有效性，其中多个细长电极中的至少一个位于一对相对的夹爪中的一个上。 组织上的第二线性位置相对于心脏的心房横向远离组织上的第一线性位置。

    Compound bipolar ablation device and method
    4.
    发明授权
    Compound bipolar ablation device and method 失效
    复合双极消融装置及方法

    公开(公告)号：US07758580B2

    公开(公告)日：2010-07-20

    申请号：US11143400

    申请日：2005-06-02

    申请人： Paul T. Rothstein ,  Roderick E. Briscoe ,  David E. Francischelli ,  David J. S. Kim ,  Alison Lutterman

    发明人： Paul T. Rothstein ,  Roderick E. Briscoe ,  David E. Francischelli ,  David J. S. Kim ,  Alison Lutterman

    IPC分类号： A61B18/12

    CPC分类号： A61B18/1442 ,  A61B2018/00363 ,  A61B2018/00375 ,  A61B2018/00577

    摘要： Method and apparatus for ablating target tissue adjacent pulmonary veins of a patient. The ablation device can include a lower jaw assembly including a proximal jaw having a proximal electrode and a distal jaw having a distal electrode, and an upper jaw assembly including an upper jaw having an upper electrode. A proximal actuator can be movable between a first position in which the proximal jaw is open and a second position in which the proximal jaw is clamped with respect to the upper jaw. A distal actuator can be movable between a third position in which the distal jaw is open and a fourth position in which the distal jaw is clamped with respect to the upper jaw.

    摘要翻译： 用于消融患者的肺静脉附近的靶组织的方法和装置。 消融装置可以包括下钳口组件，其包括具有近端电极的近端钳口和具有远端电极的远端钳口，以及包括具有上电极的上钳口的上钳口组件。 近侧致动器可以在其中近端颚打开的第一位置和相对于上颚夹紧近端颌的第二位置之间移动。 远端致动器可以在其中远侧钳口打开的第三位置和第二位置之间移动，在第四位置，远端钳口相对于上钳夹紧。

    Method and system for treatment of atrial tachyarrhythmias
    7.
    发明授权
    Method and system for treatment of atrial tachyarrhythmias 有权
    治疗房性快速性心律失常的方法和系统

    公开(公告)号：US08512337B2

    公开(公告)日：2013-08-20

    申请号：US10923073

    申请日：2004-08-20

    申请人： David E. Francischelli ,  Rahul Mehra

    发明人： David E. Francischelli ,  Rahul Mehra

    IPC分类号： A61B18/12

    CPC分类号： A61B18/1445 ,  A61B18/1402 ,  A61B2017/2945 ,  A61B2018/00994 ,  A61B2018/126 ,  A61B2018/1432 ,  A61B2018/1472

    摘要： A method of and a system for treatment of atrial tachyarrhythmias. The system includes a set of hemostats having elongated opposing jaws carrying mechanisms for applying ablation energy along the jaws. The jaws having straight and curved configurations selected to allow arrangement of the jaws of along opposite sides of walls of a patient's atrium. Treatment is accomplished by applying of ablation energy to the walls of a patient's artria to create lines of lesion corresponding generally to incisions employed in a Maze type procedure.

    摘要翻译： 一种治疗房性快速性心律失常的方法和系统。 该系统包括一组具有延长的相对的夹爪的止血器，该钳口携带用于沿钳口施加消融能量的机构。 钳口具有直的和弯曲的构造，其被选择为允许沿着病人心房的壁的相对侧布置钳口。 通过将消融能量施加到患者的肌肉的壁上来实现治疗，以产生通常对于迷宫类型手术中使用的切口相应的损伤线。

    Loop ablation apparatus and method
    10.
    发明授权
    Loop ablation apparatus and method 失效
    环路消融装置及方法

    公开(公告)号：US07678108B2

    公开(公告)日：2010-03-16

    申请号：US11143128

    申请日：2005-06-02

    申请人： Steven C. Chrisitian ,  David E. Francischelli ,  Adam A. Podbeliski ,  Daniel Charles Haeg ,  Marie T. Steinbrink ,  Roderick E. Briscoe ,  Tom P. Daigle

    发明人： Steven C. Chrisitian ,  David E. Francischelli ,  Adam A. Podbeliski ,  Daniel Charles Haeg ,  Marie T. Steinbrink ,  Roderick E. Briscoe ,  Tom P. Daigle

    IPC分类号： A61B18/14

    CPC分类号： A61B18/1492 ,  A61B2018/00291 ,  A61B2018/00363 ,  A61B2018/00375 ,  A61B2018/00577 ,  A61B2018/1407 ,  A61B2018/1472

    摘要： Embodiments of the invention provide an ablation apparatus for ablating target tissue adjacent pulmonary veins of a patient. The ablation apparatus can include a tube capable of being advanced around the pulmonary veins to form a loop. The tube can receive or include electrodes to ablate target tissue. Some embodiments provide a loop ablation device, which may include a cannula and two or more electrode rods carrying two or more bipolar electrodes. The electrode rods can be advanced through the distal ends toward the proximal ends of the loop and toward the target tissue. The bipolar electrodes can receive energy to ablate the target tissue. The bipolar electrodes may be surrounded by the liquid within the cannula while ablating the target tissue. The loop ablation device can further include a rotating grasping mechanism coupled to the electrode rods.

    摘要翻译： 本发明的实施例提供了一种用于消融患者的肺静脉附近的靶组织的消融装置。 消融装置可以包括能够围绕肺静脉前进以形成环的管。 管可以接收或包括用于烧蚀靶组织的电极。 一些实施例提供一种环路消融装置，其可以包括套管和两个或更多个承载两个或更多个双极电极的电极棒。 电极棒可以通过远端朝向环的近端并朝向目标组织前进。 双极电极可以接收能量以消融靶组织。 当消融靶组织时，双极电极可被插管内的液体包围。 环切除装置还可包括与电极棒连接的旋转夹持机构。