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公开(公告)号:US20070270679A1
公开(公告)日:2007-11-22
申请号:US11647311
申请日:2006-12-29
申请人: Duy Nguyen , Sheldon Nelson , Elizabeth Nee , Guy Vanney
发明人: Duy Nguyen , Sheldon Nelson , Elizabeth Nee , Guy Vanney
IPC分类号: A61M25/00
CPC分类号: A61M25/0152 , A61M25/0043 , A61M25/0136 , A61M25/0141 , A61M25/0147 , A61M2025/015 , A61M2025/0161 , A61M2025/105
摘要: The invention provides a deflectable catheter capable of forming many variable radius spiral forms from a single, flexible, distal end section. In one aspect, the catheter employs a variable radius control wire to extend or deform a pre-formed loop structure into a three dimensional spiral-like form or geometry. The ability of a single catheter to create the multitude of shapes and sizes possible allows users to access a greater number of anatomical areas without changing the catheter during a procedure or treatment. In another aspect, the invention encompasses methods of producing deflectable variable radius catheters, where two or more regions of the catheter having common control wires are fused or formed onto one another.
摘要翻译: 本发明提供了一种能够从单个柔性远端部分形成许多可变半径螺旋形状的可偏转导管。 在一个方面,导管使用可变半径控制线来将预成形的环结构延伸或变形为三维螺旋形的形状或几何形状。 单个导管创建多种形状和尺寸的能力可能允许用户在手术或治疗期间不更换导管的情况下进入更多数量的解剖区域。 在另一方面,本发明包括生产可偏转可变半径导管的方法,其中具有公共控制线的导管的两个或更多个区域彼此熔合或形成。
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公开(公告)号:US20130012824A1
公开(公告)日:2013-01-10
申请号:US13614620
申请日:2012-09-13
申请人: Guy Vanney , Scott Salys , Thao Ngo , Elizabeth Nee , Annapurna Karicherla , Ravisankar Gurusamy , Gene A. Bornzin
发明人: Guy Vanney , Scott Salys , Thao Ngo , Elizabeth Nee , Annapurna Karicherla , Ravisankar Gurusamy , Gene A. Bornzin
IPC分类号: A61B5/0215
CPC分类号: A61B5/02158 , A61N1/3627 , A61N1/36564 , A61N1/395 , A61N2001/0585
摘要: Disclose herein is a method of measuring pressures in a coronary sinus. In one embodiment, the method includes: introducing a distal portion of a lead or tool into the coronary sinus, wherein the distal portion includes first and second pressure sensors and at least one selectably expandable member; expanding the at least one expandable member such that the first and second sensors are isolated from each other within the coronary sinus; and taking pressure measurements with the first and second sensors when isolated from each other.
摘要翻译: 这里公开的是测量冠状窦压力的方法。 在一个实施例中,该方法包括:将引导件或工具的远端部分引入冠状窦,其中远端部分包括第一和第二压力传感器和至少一个可选择地可扩张的构件; 膨胀所述至少一个可膨胀构件,使得所述第一和第二传感器在所述冠状窦内彼此隔离; 并且当彼此隔离时,利用第一和第二传感器进行压力测量。
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公开(公告)号:US08287458B2
公开(公告)日:2012-10-16
申请号:US12110173
申请日:2008-04-25
申请人: Guy Vanney , Scott Salys , Thao Ngo , Elizabeth Nee , Annapurna Karicherla , Ravisankar Gurusamy , Gene A. Bornzin
发明人: Guy Vanney , Scott Salys , Thao Ngo , Elizabeth Nee , Annapurna Karicherla , Ravisankar Gurusamy , Gene A. Bornzin
CPC分类号: A61B5/02158 , A61N1/3627 , A61N1/36564 , A61N1/395 , A61N2001/0585
摘要: Disclose herein is a method of measuring pressures in a coronary sinus. In one embodiment, the method includes: introducing a distal portion of a lead or tool into the coronary sinus, wherein the distal portion includes first and second pressure sensors and at least one selectably expandable member; expanding the at least one expandable member such that the first and second sensors are isolated from each other within the coronary sinus; and taking pressure measurements with the first and second sensors when isolated from each other.
摘要翻译: 这里公开的是测量冠状窦压力的方法。 在一个实施例中,该方法包括:将引导件或工具的远端部分引入冠状窦,其中远端部分包括第一和第二压力传感器和至少一个可选择地可扩张的构件; 膨胀所述至少一个可膨胀构件,使得所述第一和第二传感器在所述冠状窦内彼此隔离; 并且当彼此隔离时,利用第一和第二传感器进行压力测量。
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公开(公告)号:US20090270741A1
公开(公告)日:2009-10-29
申请号:US12110173
申请日:2008-04-25
申请人: Guy Vanney , Scott Salys , Elizabeth Nee , Thao Thu Nguyen , Annapurna Karicherla , Ravisankar Gurusamy
发明人: Guy Vanney , Scott Salys , Elizabeth Nee , Thao Thu Nguyen , Annapurna Karicherla , Ravisankar Gurusamy
IPC分类号: A61B5/0215 , A61N1/365
CPC分类号: A61B5/02158 , A61N1/3627 , A61N1/36564 , A61N1/395 , A61N2001/0585
摘要: Disclose herein is a method of measuring pressures in a coronary sinus. In one embodiment, the method includes: introducing a distal portion of a lead or tool into the coronary sinus, wherein the distal portion includes first and second pressure sensors and at least one selectably expandable member; expanding the at least one expandable member such that the first and second sensors are isolated from each other within the coronary sinus; and taking pressure measurements with the first and second sensors when isolated from each other.
摘要翻译: 这里公开的是测量冠状窦压力的方法。 在一个实施例中,该方法包括:将引导件或工具的远端部分引入冠状窦,其中远端部分包括第一和第二压力传感器和至少一个可选择地可扩张的构件; 膨胀所述至少一个可膨胀构件,使得所述第一和第二传感器在所述冠状窦内彼此隔离; 并且当彼此隔离时,利用第一和第二传感器进行压力测量。
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公开(公告)号:US20050004440A1
公开(公告)日:2005-01-06
申请号:US10613794
申请日:2003-07-02
申请人: Guy Vanney
发明人: Guy Vanney
CPC分类号: A61B18/1492 , A61N1/05
摘要: An ablation catheter employing a continuous or nearly continuous flexible electrode arrangement. In one implementation, the flexible electrode include at least one electrode defining a saw tooth pattern. In another implementation, the flexible electrode is arranged in an interlaced pattern. Generally, the flexible electrodes are configured to adapt to the change in shape of the portion of the catheter that the electrode is connected with. Moreover, the flexible electrodes are arranged to provide a continuous or nearly continuous lesion of the target tissue. In some implementations, the flexible electrode may be connected with the catheter in a biased configuration, and as such may assist in changing the shape of a curve in the catheter.
摘要翻译: 采用连续或几乎连续的柔性电极装置的消融导管。 在一个实施方案中,柔性电极包括限定锯齿图案的至少一个电极。 在另一实施方案中,柔性电极以隔行扫描的方式布置。 通常,柔性电极被配置成适应电极连接的导管部分的形状变化。 此外,柔性电极被布置成提供目标组织的连续或几乎连续的损伤。 在一些实施方案中,柔性电极可以以偏压构造与导管连接,并且因此可能有助于改变导管中曲线的形状。
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公开(公告)号:US07235070B2
公开(公告)日:2007-06-26
申请号:US10613795
申请日:2003-07-02
申请人: Guy Vanney
发明人: Guy Vanney
CPC分类号: A61B18/1492 , A61B2017/00867 , A61B2018/00375 , A61B2018/1407 , A61B2018/1472 , C08L2201/12
摘要: An ablation catheter employing one or more manifold arrangements to convey a conductive fluid medium to a target tissue. The manifold includes at least one inlet port in fluid communication with a fluid supply lumen running along at least a portion of the catheter. The inlet port or ports are in fluid communication with a larger outlet port. The outlet ports provide an outlet for the fluid to flow out of the catheter and against the target tissue. As such, the combination of at least the inlet port with the outlet port provides a flow path for fluid within the fluid lumen to flow through the manifold and to outside of the catheter. An electrode is arranged in the flow path of fluid within or adjacent the manifolds. As such, fluid may be energized and conduct ablation energy to the target tissue to ablate the tissue.
摘要翻译: 一种采用一个或多个歧管装置以将导电流体介质输送到靶组织的消融导管。 歧管包括至少一个入口端口,其与沿导管的至少一部分延伸的流体供应腔流体连通。 入口端口与较大的出口端口流体连通。 出口端口提供用于流体从导管流出并抵靠靶组织的出口。 因此,至少入口端口与出口端口的组合为流体腔内的流体提供流动通过歧管和导管外部的流动路径。 电极布置在歧管内或附近的流体的流动路径中。 因此,流体可以被通电并且向目标组织传导消融能量以烧蚀组织。
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公开(公告)号:US20050267463A1
公开(公告)日:2005-12-01
申请号:US10857423
申请日:2004-05-27
申请人: Guy Vanney
发明人: Guy Vanney
CPC分类号: A61B18/1492 , A61B5/6857 , A61B2017/00867 , A61B2018/00375 , A61B2018/00839 , C08L2201/12
摘要: A sensing and ablation electrode includes bifurcated sensing limbs separated by an ablation web. The electrode is disposed on the distal end of a catheter. The sensing limbs each support an array of sensors that are individually wired for mapping and post ablation efficacy testing. The web includes a pair of pliable membranes that define a lumen and are adapted to collapse the cross-section of the electrode. One membrane defines a plurality of apertures for dispersing a conductive fluid medium as a virtual electrode. The sensors and the apertures all lie within substantially the same plane.
摘要翻译: 感测和消融电极包括由消融网分开的分叉感测肢。 电极设置在导管的远端。 感测肢各自支持一组传感器,这些传感器单独连接用于映射和后消融功效测试。 网状物包括一对柔性膜,其限定内腔并适于折叠电极的横截面。 一个膜限定多个孔,用于分散导电流体介质作为虚拟电极。 传感器和孔都位于基本相同的平面内。
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公开(公告)号:US5776188A
公开(公告)日:1998-07-07
申请号:US748071
申请日:1996-11-12
申请人: Terry L. Shepherd , Guy Vanney , Kurt D. Krueger
发明人: Terry L. Shepherd , Guy Vanney , Kurt D. Krueger
IPC分类号: A61F2/24
CPC分类号: A61F2/2409 , Y10S623/90
摘要: A mechanical heart valve for implantation in a heart of a patient includes an orifice body having an outer circumference and defining a lumen for blood flow therethrough. At least one leaflet carried in the lumen of the orifice body is movable between an open position, allowing flow through the lumen, and a closed position blocking flow through the lumen. A flange ring around the outer circumference of the orifice body includes a plurality of suture holes defined therein. The suture holes are adapted for receiving a suture and thereby attaching the heart valve to tissue of the heart.
摘要翻译: 用于植入患者心脏的机械心脏瓣膜包括具有外圆周并且限定用于血流通过的内腔的孔体。 在孔本体的内腔中携带的至少一个传单可以在允许流过内腔的打开位置和封闭位置之间移动,从而阻止流过该腔的封闭位置。 围绕孔本体的外圆周的凸缘环包括限定在其中的多个缝合孔。 缝合孔适于接收缝合线,从而将心脏瓣膜附接到心脏的组织。
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公开(公告)号:US5571175A
公开(公告)日:1996-11-05
申请号:US487497
申请日:1995-06-07
申请人: Guy Vanney , Kurt D. Krueger , Michael J. Girard
发明人: Guy Vanney , Kurt D. Krueger , Michael J. Girard
IPC分类号: A61F2/24
CPC分类号: A61F2/2409
摘要: An artificial heart valve prosthesis for use in a heart includes an orifice defining a lumen therethrough for blood flow. An occluder is carried in the orifice and is movable between an open position which allows blood flow through the lumen and a closed position in which flow through the lumen is blocked. A suture cuff coupled to the orifice extends around an outer circumference of the orifice and is used for attaching the heart valve to a heart tissue annulus using sutures. The sutures are knotted proximate the suture cuff to secure the cuff to the annulus. A suture guard is coupled to the suture cuff and is movable between an open position in which the suture knot is exposed and a closed position in which the suture, suture knot and suture cuff are covered.
摘要翻译: 在心脏中使用的人造心脏瓣膜假体包括限定用于血液流动的腔的孔。 封堵器被携带在孔口中,并且可以在允许血液流过管腔的打开位置和闭合位置之间移动,在关闭位置,流过管腔的流动被阻塞。 联接到孔的缝合箍围绕孔的外周延伸,并且用于使用缝线将心脏瓣膜附接到心脏组织环。 缝合线缝合在缝合袖口附近,以将袖带固定在环状物上。 缝合线保护件联接到缝合箍上,并且可以在其中暴露缝合线的打开位置和闭合位置之间移动,缝合线,缝线结和缝合箍被覆盖在闭合位置。
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公开(公告)号:US09364640B2
公开(公告)日:2016-06-14
申请号:US13465866
申请日:2012-05-07
申请人: Guy Vanney , Pär Gustafsson
发明人: Guy Vanney , Pär Gustafsson
CPC分类号: A61B5/6851 , A61B5/0245 , A61B5/062 , A61B5/066 , A61B34/20 , A61B2034/2051 , A61B2562/0223 , A61B2562/12 , A61M25/09 , A61M2025/0002 , A61M2025/09083 , A61M2025/09091 , A61M2025/09133 , A61M2025/0915 , A61M2025/09175 , A61M2025/09183
摘要: A guidewire for a medical device is disclosed. The guidewire includes an elongate body, a proximal connector assembly, a corewire, and a sensor assembly. The body has an annular wall that defines an interior lumen. The proximal connector assembly is coupled to the body and is configured for connection to a medical positioning system. The corewire extends through the lumen. The sensor assembly located on a distal end of the corewire is electrically connected to the proximal connector assembly. The sensor assembly is configured to generate an electrical signal indicative of a position of the sensor assembly in a reference coordinate system defined in the medical positioning system. The body includes a helical cutout extending over a predetermined length of the body. The helical cutout is configured to increase the flexibility over the predetermined length of the body.
摘要翻译: 公开了一种用于医疗装置的导丝。 导丝包括细长体,近端连接器组件,芯线和传感器组件。 主体具有限定内腔的环形壁。 近端连接器组件联接到主体并且被配置为连接到医疗定位系统。 芯线延伸通过管腔。 位于芯线的远端的传感器组件电连接到近端连接器组件。 传感器组件被配置为产生指示传感器组件在医疗定位系统中定义的参考坐标系中的位置的电信号。 主体包括在身体的预定长度上延伸的螺旋切口。 螺旋切口被配置成增加在身体的预定长度上的柔性。
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