公开(公告)号：US20080033457A1

公开(公告)日：2008-02-07

申请号：US11788261

申请日：2007-04-19

申请人： David Francischelli ,  Roderick Briscoe ,  Leonard Leuer ,  Daniel Haeg ,  Tom Daigle ,  David Kim ,  Mark Stewart ,  Andrew Olson ,  Patrick Cloutier ,  Christopher Smith ,  Michael Hobday ,  Tessy Kanayinkal ,  Douglas Gubbin ,  Paul Rothstein ,  Joseph Cardinal ,  Jessica Foley ,  Christopher Plott

发明人： David Francischelli ,  Roderick Briscoe ,  Leonard Leuer ,  Daniel Haeg ,  Tom Daigle ,  David Kim ,  Mark Stewart ,  Andrew Olson ,  Patrick Cloutier ,  Christopher Smith ,  Michael Hobday ,  Tessy Kanayinkal ,  Douglas Gubbin ,  Paul Rothstein ,  Joseph Cardinal ,  Jessica Foley ,  Christopher Plott

IPC分类号： 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。

公开(公告)号：US20060020271A1

公开(公告)日：2006-01-26

申请号：US11155699

申请日：2005-06-17

申请人： Mark Stewart ,  Alison Lutterman ,  David Francischelli ,  Leonard Leuer ,  Daniel Haeg ,  Marie Steinbrink ,  Roderick Briscoe ,  Tom Daigle ,  Eduardo Warman ,  Paul Rothstein ,  Phillip Falkner ,  Douglas Hettrick ,  David Kim ,  Steven Christian

发明人： Mark Stewart ,  Alison Lutterman ,  David Francischelli ,  Leonard Leuer ,  Daniel Haeg ,  Marie Steinbrink ,  Roderick Briscoe ,  Tom Daigle ,  Eduardo Warman ,  Paul Rothstein ,  Phillip Falkner ,  Douglas Hettrick ,  David Kim ,  Steven Christian

IPC分类号： A61B17/10

CPC分类号： A61B17/0057 ,  A61B17/12013 ,  A61B17/122 ,  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。

公开(公告)号：US20060195083A1

公开(公告)日：2006-08-31

申请号：US11411316

申请日：2006-04-26

申请人： Scott Jahns ,  David Francischelli ,  Alison Lutterman ,  James Keogh ,  Roderick Briscoe ,  William O'Neill ,  Jack Goodman ,  Tom Daigle ,  Paul Rothstein ,  Adam Podbelski ,  Stephen Roddy ,  David Kim ,  Mark Bilitz

发明人： Scott Jahns ,  David Francischelli ,  Alison Lutterman ,  James Keogh ,  Roderick Briscoe ,  William O'Neill ,  Jack Goodman ,  Tom Daigle ,  Paul Rothstein ,  Adam Podbelski ,  Stephen Roddy ,  David Kim ,  Mark Bilitz

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. A swiveling head assembly can allow the jaws to be adjusted in pitch and roll. Malleable jaws can permit curved lesion shapes. A locking detent can secure the jaws in a closed position during the procedure. An illuminated indicator provides confirmation that the device is operating. A fluid delivery system simplifies irrigated ablation 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。 旋转头组件可以允许钳口在俯仰和滚动中进行调节。 韧性的钳口可以允许弯曲的损伤形状。 在操作过程中，锁定爪可以将夹爪固定在关闭位置。 照明指示灯提供设备运行的确认。 流体输送系统简化了灌溉消融程序。

公开(公告)号：US20060009759A1

公开(公告)日：2006-01-12

申请号：US11143128

申请日：2005-06-02

申请人： Steven Chrisitian ,  David Francischelli ,  Adam Podbeliski ,  Daniel Haeg ,  Marie Steinbrink ,  Roderick Briscoe ,  Tom Daigle

发明人： Steven Chrisitian ,  David Francischelli ,  Adam Podbeliski ,  Daniel Haeg ,  Marie Steinbrink ,  Roderick Briscoe ,  Tom 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。

公开(公告)号：US20060020263A1

公开(公告)日：2006-01-26

申请号：US11143399

申请日：2005-06-02

申请人： Paul Rothstein ,  David Francischelli ,  Terri Cormack ,  Tom Daigle ,  Alison Lutterman ,  Roderick Briscoe ,  Steven Christian

发明人： Paul Rothstein ,  David Francischelli ,  Terri Cormack ,  Tom Daigle ,  Alison Lutterman ,  Roderick Briscoe ,  Steven 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。

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。

公开(公告)号：US20070005084A1

公开(公告)日：2007-01-04

申请号：US11155533

申请日：2005-06-16

申请人： Cynthia Clague ,  Michael Hobday ,  Raymond Usher ,  Roderick Briscoe ,  Katherine Jolly ,  Ana Buhr ,  Christopher Olig ,  Eric Meyer ,  Steven Christian ,  Tom Daigle ,  Robert Reetz ,  Jeffrey Sandstrom ,  James Keogh ,  Matthew Bonner ,  Scott Jahns

发明人： Cynthia Clague ,  Michael Hobday ,  Raymond Usher ,  Roderick Briscoe ,  Katherine Jolly ,  Ana Buhr ,  Christopher Olig ,  Eric Meyer ,  Steven Christian ,  Tom Daigle ,  Robert Reetz ,  Jeffrey Sandstrom ,  James Keogh ,  Matthew Bonner ,  Scott Jahns

IPC分类号： A61B17/22

CPC分类号： A61B17/22 ,  A61B17/00008 ,  A61B17/320016 ,  A61B17/32002 ,  A61B17/32053 ,  A61B2017/00557 ,  A61B2017/00778 ,  A61B2017/22062 ,  A61B2017/22068

摘要： The invention provides a system and method for harvesting a vessel section. The system comprises a vessel support member, a handle, and a tubular cutting device. The vessel support member is introduced into the vessel section to be harvested. The tubular cutting device may comprise an outer tubular member or an outer and an inner tubular member. The outer tubular member carries at least one cutting element. The tubular member or members are advanced over the vessel section and vessel support member to core out the vessel section and tissue adjoining the vessel section.

摘要翻译： 本发明提供了一种收集血管部分的系统和方法。 该系统包括容器支撑构件，手柄和管状切割装置。 将容器支撑构件引入待收获的容器部分。 管状切割装置可以包括外部管状构件或外部管状构件和内部管状构件。 外部管状构件承载至少一个切割元件。 管状构件在容器部分和容器支撑构件上前进，以将与容器部分相邻的容器部分和组织芯出。

公开(公告)号：US20090299364A1

公开(公告)日：2009-12-03

申请号：US12427457

申请日：2009-04-21

申请人： Kester Batchelor ,  David Francischelli ,  Tom Daigle ,  Dan Haeg ,  Paul Rothstein ,  Adam Podbelski ,  Sarah Ahlberg ,  Steve Ramberg ,  Tom Conway

发明人： Kester Batchelor ,  David Francischelli ,  Tom Daigle ,  Dan Haeg ,  Paul Rothstein ,  Adam Podbelski ,  Sarah Ahlberg ,  Steve Ramberg ,  Tom Conway

IPC分类号： A61B18/14

CPC分类号： A61B18/1492 ,  A61B2018/00065 ,  A61B2018/00113 ,  A61B2018/00291 ,  A61B2018/00351 ,  A61B2018/00642 ,  A61B2018/00702 ,  A61B2018/00726 ,  A61B2018/00863 ,  A61B2018/1472 ,  A61B2090/064 ,  A61B2218/002 ,  A61B2218/007

摘要： An ablation device for ablating tissue having an outer wall and an inner wall, approximately parallel and concentric with said outer wall, defining an inner fluid chamber and an outer low pressure chamber. Each of the outer wall and the inner wall have an edge defining an open face of the fluid chamber and the low pressure chamber. An ablative element is contained within the fluid chamber. A source of low pressure is coupled to the low pressure chamber. When the edge of the outer wall and the edge of the inner wall contact a surface, the ablation device is at least partially secured to the surface by low pressure created in the low pressure chamber by the source of low pressure. The fluid chamber is at least partially fluidly isolated from the low pressure chamber when the ablation device is at least partially secured to the surface.

摘要翻译： 一种用于烧蚀组织的消融装置，其具有与所述外壁大致平行并同心的外壁和内壁，限定内部流体室和外部低压室。 外壁和内壁中的每一个具有限定流体室和低压室的敞开面的边缘。 消融元件包含在流体室内。 低压源连接到低压室。 当外壁的边缘和内壁的边缘接触表面时，消融装置通过由低压源产生的低压室中的低压至少部分地固定到表面。 当消融装置至少部分地固定到表面时，流体室至少部分地与低压室流体隔离。

公开(公告)号：US20080108878A1

公开(公告)日：2008-05-08

申请号：US12004937

申请日：2007-12-21

申请人： Jack Goodman ,  Tom Daigle ,  Douglas Gubbin ,  David Kim

发明人： Jack Goodman ,  Tom Daigle ,  Douglas Gubbin ,  David Kim

IPC分类号： A61B1/32

CPC分类号： A61B17/02 ,  A61B2017/00314 ,  A61B2017/2905 ,  A61B2017/306

摘要： An improved tissue engagement device such as a suction stabilizer or retractor. The stabilizer or retractor is provided with one or more suction pods mounted to the distal end of a flexible arm. The flexible arm is coupled to a base assembly, which attaches the arm to an associated retractor or other structure that is fixedly located relative to the operative site. The base assembly includes a fixed portion, which is coupled to the retractor or other fixed mounting point and a rotatable turret, allowing rotation of the arm relative to the fixed portion of the base assembly. A tensioning mechanism mounted to the turret applies tension to compress the turret around a corresponding pivot mounted to the fixed portion of the base to rotationally lock the turret and to lock the arm in its current configuration. If the device is a suction stabilizer, it may carry a spreading/tightening mechanism along with two suction pods and the tensioning mechanism may lock the relative location of the spreading/tightening mechanism relative to the arm and operate to spread the suction pods apart from one another to provide for additional stabilization at the desired anastomosis site. If the device is a suction retractor, the tensioning mechanism may lock a pivotably mounted carrier for a single enlarged suction pod so that the suction pod is held in its desired orientation relative to the arm.

摘要翻译： 改进的组织接合装置，例如吸力稳定器或牵开器。 稳定器或牵开器设置有一个或多个安装到柔性臂的远端的抽吸舱。 柔性臂联接到基部组件，其将臂附接到相对于牵开器或相对于手术部位固定定位的其他结构。 基座组件包括固定部分，该固定部分联接到牵开器或其他固定安装点以及可转动的转台，允许臂相对于基座组件的固定部分旋转。 安装到转台上的张紧机构施加张力以围绕安装到基座的固定部分的相应枢轴压缩转台，以旋转地锁定转台并将臂锁定在其当前配置中。 如果设备是吸力稳定器，则它可以与两个吸力舱一起携带扩张/紧固机构，并且张紧机构可以相对于手臂锁定扩张/紧固机构的相对位置，并且操作以将抽吸荚与一个 另一个在所需的吻合部位提供额外的稳定。 如果装置是抽吸牵开器，则张紧机构可以锁定可枢转地安装的载体以用于单个扩大的吸入舱，使得吸入舱相对于臂保持在其期望的方向。

公开(公告)号：US20050101840A1

公开(公告)日：2005-05-12

申请号：US11003100

申请日：2004-12-03

申请人： Jack Goodman ,  Tom Daigle ,  Douglas Gubbin ,  David Kim

发明人： Jack Goodman ,  Tom Daigle ,  Douglas Gubbin ,  David Kim

IPC分类号： A61B17/02 ,  A61B17/28 ,  A61B17/30 ,  A61B1/32

CPC分类号： A61B17/02 ,  A61B2017/00314 ,  A61B2017/2905 ,  A61B2017/306

摘要： An improved tissue engagement device such as a suction stabilizer or retractor. The stabilizer or retractor is provided with one or more suction pods mounted to the distal end of a flexible arm. The flexible arm is coupled to a base assembly, which attaches the arm to an associated retractor or other structure that is fixedly located relative to the operative site. The base assembly includes a fixed portion, which is coupled to the retractor or other fixed mounting point and a rotatable turret, allowing rotation of the arm relative to the fixed portion of the base assembly. A tensioning mechanism mounted to the turret applies tension to compress the turret around a corresponding pivot mounted to the fixed portion of the base to rotationally lock the turret and to lock the arm in its current configuration. If the device is a suction stabilizer, it may carry a spreading/tightening mechanism along with two suction pods and the tensioning mechanism may lock the relative location of the spreading/tightening mechanism relative to the arm and operate to spread the suction pods apart from one another to provide for additional stabilization at the desired anastomosis site. If the device is a suction retractor, the tensioning mechanism may lock a pivotably mounted carrier for a single enlarged suction pod so that the suction pod is held in its desired orientation relative to the arm.

摘要翻译： 改进的组织接合装置，例如吸力稳定器或牵开器。 稳定器或牵开器设置有一个或多个安装到柔性臂的远端的抽吸舱。 柔性臂联接到基部组件，其将臂附接到相对于牵开器或相对于手术部位固定定位的其他结构。 基座组件包括固定部分，该固定部分联接到牵开器或其他固定安装点以及可转动的转台，允许臂相对于基座组件的固定部分旋转。 安装到转台上的张紧机构施加张力以围绕安装到基座的固定部分的相应枢轴压缩转台，以旋转地锁定转台并将臂锁定在其当前配置中。 如果设备是吸力稳定器，则它可以与两个吸力舱一起携带扩张/紧固机构，并且张紧机构可以相对于手臂锁定扩张/紧固机构的相对位置，并且操作以将抽吸荚与一个 另一个在所需的吻合部位提供额外的稳定。 如果装置是抽吸牵开器，则张紧机构可以锁定可枢转地安装的载体以用于单个扩大的吸入舱，使得吸入舱相对于臂保持在其期望的方向。