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公开(公告)号：US06989010B2
公开(公告)日：2006-01-24
申请号：US10364553
申请日：2003-02-11
申请人： David E. Francischelli , Eduardo N. Warman , Justin A. Harder , Scott E. Jahns , Alison Lutterman
发明人： David E. Francischelli , Eduardo N. Warman , Justin A. Harder , Scott E. Jahns , Alison Lutterman
IPC分类号： A61B18/18
CPC分类号： A61B18/1206 , A61B18/1442 , A61B2018/0016 , A61B2018/00351 , A61B2018/00363 , A61B2018/00577 , A61B2018/00702 , A61B2018/00761 , A61B2018/00791 , A61B2018/00875 , A61B2018/00886 , A61B2018/1467 , A61B2218/002
摘要： A system and method for creating lesions and assessing their completeness or transmurality. Assessment of transmurality of a lesion is accomplished by monitoring the impedance of the tissue to be ablated. Rather than attempting to detect a desired drop or a desired increase impedance, completeness of a lesion is detected in response to the measured impedance remaining at a stable level for a desired period of time, referred to as an impedance plateau. The mechanism for determining transmurality of lesions adjacent individual electrodes or pairs may be used to deactivate individual electrodes or electrode pairs, when the lesions in tissue adjacent these individual electrodes or electrode pairs are complete, to create an essentially uniform lesion along the line of electrodes or electrode pairs, regardless of differences in tissue thickness adjacent the individual electrodes or electrode pairs.
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公开(公告)号：US20100204716A1
公开(公告)日：2010-08-12
申请号：US12768200
申请日：2010-04-27
申请人： Mark T. Stewart , Alison Lutterman , David E. Francischelli , Leonard H. Leuer , Daneil C. Haeg , Marie T. Steinbrink , Roderick E. Briscoe , Tom P. Daigel , Eduardo N. Warman , Paul T. Rothstein , Phillip C. Falkner , Douglas A. Hettrick , David J.S. Kim , Steven C. Christian
发明人： Mark T. Stewart , Alison Lutterman , David E. Francischelli , Leonard H. Leuer , Daneil C. Haeg , Marie T. Steinbrink , Roderick E. Briscoe , Tom P. Daigel , Eduardo N. Warman , Paul T. Rothstein , Phillip C. Falkner , Douglas A. Hettrick , David J.S. Kim , Steven C. Christian
IPC分类号： A61B17/128 , A61B17/122
CPC分类号： A61B17/12 , A61B17/0057 , A61B17/12009 , A61B17/12013 , A61B17/122 , A61B17/128 , A61B17/1285 , A61B90/39 , A61B2017/00243 , A61B2017/00575 , A61B2017/12018 , A61B2017/306
摘要： Some embodiments of the invention provide a system for occluding a left atrial appendage of a patient. Some embodiments of the system can include a ring occluder that can be positioned around the left atrial appendage and a ring applicator to position the ring occluder with respect to the left atrial appendage. One embodiment discloses a method of accessing endocardial surfaces of the heart through the atrial appendage. Additional embodiments of the invention provide a clip occluder that can be positioned around the left atrial appendage. A clip applicator can position the clip occluder with respect to the left atrial appendage.
摘要翻译： 本发明的一些实施例提供一种用于闭塞患者左心耳的系统。 该系统的一些实施例可以包括可以围绕左心耳定位的环封闭器和环施加器来相对于左心耳定位环封闭器。 一个实施例公开了通过心房接近心脏心脏表面的方法。 本发明的另外的实施例提供了可以围绕左心耳定位的夹子封堵器。 夹子施放器可以相对于左心耳定位夹子封堵器。
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公开(公告)号：US07963963B2
公开(公告)日：2011-06-21
申请号：US11040663
申请日：2005-01-21
申请人： David E. Francischelli , Roderick E. Briscoe , Paul T. Rothstein , David Jin Sung Kim , James R. Keogh , Tom P. Daigle , Adam A. Podbeliski , Stephen J. Roddy , Steve Christian , Brian Ross , James Skarda , Scott E. Jahns , Alison Lutterman
发明人： David E. Francischelli , Roderick E. Briscoe , Paul T. Rothstein , David Jin Sung Kim , James R. Keogh , Tom P. Daigle , Adam A. Podbeliski , Stephen J. Roddy , Steve Christian , Brian Ross , James Skarda , Scott E. Jahns , Alison Lutterman
IPC分类号： A61B18/14
CPC分类号： A61B18/1445 , A61B2018/1861
摘要： A hemostat-type device for ablative treatment of tissue, particularly for treatment of atrial fibrillation, is constructed with features that provide easy and effective treatment. The device may include a swiveling head assembly that allows the jaws to be adjusted in pitch and/or roll. The device may include a malleable or articulating handle shaft, as well as, malleable or curved rigid jaws that can permit curved lesion shapes. A locking detent can secure the jaws in a closed position during the procedure. The device may include one or more remote actuators making the hemostat-type device useful for minimally invasive procedures.
摘要翻译： 用于消融治疗组织的止血剂型装置，特别是用于治疗心房纤维性颤动的装置，其构造具有提供容易和有效治疗的特征。 该装置可以包括旋转头组件，其允许在间距和/或辊中调节夹爪。 该装置可以包括可延展的或铰接的手柄轴，以及可以允许弯曲的损伤形状的可延展或弯曲的刚性钳口。 在操作过程中，锁定爪可以将夹爪固定在关闭位置。 该装置可以包括一个或多个远程致动器，其使止血器装置用于微创程序。
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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。
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公开(公告)号：US08172837B2
公开(公告)日：2012-05-08
申请号：US12814992
申请日：2010-06-14
申请人： Paul T. Rothstein , David E. Francischelli , Terri Jean Cormack , Tom P. Daigle , Alison Lutterman , Roderick E. Briscoe , Steven C. Christian
发明人： Paul T. Rothstein , David E. Francischelli , Terri Jean Cormack , Tom P. Daigle , Alison Lutterman , Roderick E. Briscoe , Steven C. Christian
IPC分类号： A61B18/14
CPC分类号： A61B18/1442 , A61B2017/2945 , A61B2018/00065 , A61B2018/00363 , A61B2018/00375 , A61B2018/00577 , A61B2018/1432
摘要： Method and apparatus for ablating target tissue adjacent pulmonary veins of a patient. A clamping ablation tool can include an upper arm having an upper neck, a link assembly, and an upper actuator. The link assembly can include a distal electrode and a proximal electrode. The clamping ablation tool can include a lower arm that mates with the upper arm. The lower arm can include a lower neck, a distal jaw, and a lower actuator. The distal jaw can include a jaw electrode, and the lower actuator can control movement of the distal 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。 夹持消融工具可以包括具有上颈部的上臂，连杆组件和上致动器。 连杆组件可以包括远端电极和近端电极。 夹持消融工具可以包括与上臂配合的下臂。 下臂可以包括下颈部，远端钳口和下部致动器。 远端钳口可以包括钳口电极，下部致动器可以控制远端钳口的运动。
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公开(公告)号：US07758576B2
公开(公告)日：2010-07-20
申请号：US11143399
申请日：2005-06-02
申请人： Paul T. Rothstein , David E. Francischelli , Terri Jean Cormack , Tom P. Daigle , Alison Lutterman , Roderick E. Briscoe , Steven C. Christian
发明人： Paul T. Rothstein , David E. Francischelli , Terri Jean Cormack , Tom P. Daigle , Alison Lutterman , Roderick E. Briscoe , Steven C. Christian
IPC分类号： A61B18/14
CPC分类号： A61B18/1442 , A61B2017/2945 , A61B2018/00065 , A61B2018/00363 , A61B2018/00375 , A61B2018/00577 , A61B2018/1432
摘要： Method and apparatus for ablating target tissue adjacent pulmonary veins of a patient. A clamping ablation tool can include an upper arm having an upper neck, a link assembly, and an upper actuator. The link assembly can include a distal electrode and a proximal electrode. The clamping ablation tool can include a lower arm that mates with the upper arm. The lower arm can include a lower neck, a distal jaw, and a lower actuator. The distal jaw can include a jaw electrode, and the lower actuator can control movement of the distal 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。 夹持消融工具可以包括具有上颈部的上臂，连杆组件和上致动器。 连杆组件可以包括远端电极和近端电极。 夹持消融工具可以包括与上臂配合的下臂。 下臂可以包括下颈部，远端钳口和下部致动器。 远端钳口可以包括钳口电极，下部致动器可以控制远端钳口的运动。
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公开(公告)号：US20110071519A1
公开(公告)日：2011-03-24
申请号：US12814992
申请日：2010-06-14
申请人： Paul T. Rothstein , David E. Francischelli , Terri Jean Cormack , Tom P. Daigle , Alison Lutterman , Roderick E. Briscoe , Steven C. Christian
发明人： Paul T. Rothstein , David E. Francischelli , Terri Jean Cormack , Tom P. Daigle , Alison Lutterman , Roderick E. Briscoe , Steven C. Christian
IPC分类号： A61B18/14
CPC分类号： A61B18/1442 , A61B2017/2945 , A61B2018/00065 , A61B2018/00363 , A61B2018/00375 , A61B2018/00577 , A61B2018/1432
摘要： Method and apparatus for ablating target tissue adjacent pulmonary veins of a patient. A clamping ablation tool can include an upper arm having an upper neck, a link assembly, and an upper actuator. The link assembly can include a distal electrode and a proximal electrode. The clamping ablation tool can include a lower arm that mates with the upper arm. The lower arm can include a lower neck, a distal jaw, and a lower actuator. The distal jaw can include a jaw electrode, and the lower actuator can control movement of the distal 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。 夹持消融工具可以包括具有上颈部的上臂，连杆组件和上致动器。 连杆组件可以包括远端电极和近端电极。 夹持消融工具可以包括与上臂配合的下臂。 下臂可以包括下颈部，远端钳口和下部致动器。 远端钳口可以包括钳口电极，下部致动器可以控制远端钳口的运动。
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公开(公告)号：US20100262132A1
公开(公告)日：2010-10-14
申请号：US12815093
申请日：2010-06-14
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
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。
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公开(公告)号：US20060041254A1
公开(公告)日：2006-02-23
申请号：US11040663
申请日：2005-01-21
申请人： David Francischelli , Roderick Briscoe , Paul Rothstein , David Jin Kim , James Keogh , Tom Daigle , Adam Podbellski , Stephen Roddy , Steve Christian , Brian Ross , James Skarda , Scott Jahns , Alison Lutterman
发明人： David Francischelli , Roderick Briscoe , Paul Rothstein , David Jin Kim , James Keogh , Tom Daigle , Adam Podbellski , Stephen Roddy , Steve Christian , Brian Ross , James Skarda , Scott Jahns , Alison Lutterman
IPC分类号： A61B18/14
CPC分类号： A61B18/1445 , A61B2018/1861
摘要： A hemostat-type device for ablative treatment of tissue, particularly for treatment of atrial fibrillation, is constructed with features that provide easy and effective treatment. The device may include a swiveling head assembly that allows the jaws to be adjusted in pitch and/or roll. The device may include a malleable or articulating handle shaft, as well as, malleable or curved rigid jaws that can permit curved lesion shapes. A locking detent can secure the jaws in a closed position during the procedure. The device may include one or more remote actuators making the hemostat-type device useful for minimally invasive procedures.
摘要翻译： 用于消融治疗组织的止血剂型装置，特别是用于治疗心房纤维性颤动的装置，其构造具有提供容易和有效治疗的特征。 该装置可以包括旋转头组件，其允许在间距和/或辊中调整夹爪。 该装置可以包括可延展的或铰接的手柄轴，以及可以允许弯曲的损伤形状的可延展或弯曲的刚性钳口。 在操作过程中，锁定爪可以将夹爪固定在关闭位置。 该装置可以包括一个或多个远程致动器，其使止血器装置用于微创程序。
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公开(公告)号：US20060036236A1
公开(公告)日：2006-02-16
申请号：US11143400
申请日：2005-06-02
IPC分类号： A61B18/14
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。
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