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    Surgical devices and methods for use in tissue ablation procedures
    1.
    发明授权
    Surgical devices and methods for use in tissue ablation procedures 失效

    公开(公告)号：US06663622B1

    公开(公告)日：2003-12-16

    申请号：US09649998

    申请日：2000-08-28

    申请人： Frederick J. Foley ,  James S. Sharrow ,  Lorraine E. Reeve ,  Thomas G. Adelman ,  Michael F. Hoey

    发明人： Frederick J. Foley ,  James S. Sharrow ,  Lorraine E. Reeve ,  Thomas G. Adelman ,  Michael F. Hoey

    IPC分类号： A61B1818

    CPC分类号： A61B18/1492 ,  A61B2017/003 ,  A61B2017/0243 ,  A61B2017/22067 ,  A61B2017/320052 ,  A61B2018/00214 ,  A61B2018/0022 ,  A61B2018/00261 ,  A61B2018/00285 ,  A61B2018/00291 ,  A61B2018/00875 ,  A61B2018/1475

    摘要： Devices and a method are provided to assist a surgeon in ablating conduction paths in tissue, such as a heart. A device can be configured to operate as a template that adheres to the tissue surface, and allows the surgeon to more easily sever the conduction path to form a lesion in a desired location. In particular, the template can be used to guide the surgeon's use of a surgical instrument along a desired ablation path. In some case, the template may incorporate hardware that structurally supports the instrument for travel along the ablation path. A surgical instrument such as an ablation probe, e.g., radio frequency, laser, ultrasonic, microwave, thermal, chemical, mechanical, or cryogenic ablation probe, may be used to sever the conduction paths. Measurements made substantially contemporaneously with the conduction path ablation operation may be used to evaluate whether the desired degree of ablation has been achieved. The device may also incorporate feedback to compare the desired degree of conduction path ablation with the measured degree, and may deactivate the surgical instrument when the desired degree has been achieved. In some cases, the template device can be configured to provide local stabilization of organ tissue, particularly for a moving organ such as a beating heart. In other cases, the template device may provide little or no stabilization, but provide a guide structure for placement of the ablation probe in the same frame of motion as the moving tissue. Also, for some applications, the template device may be arranged to facilitate application of other therapeutic devices, such as diagnostic probes, pacing leads, and drug delivery devices, to the surface of a moving organ.

    Devices and method for manipulation of organ tissue
    2.
    发明授权
    Devices and method for manipulation of organ tissue 有权
    用于器官组织操作的装置和方法

    公开(公告)号：US06558314B1

    公开(公告)日：2003-05-06

    申请号：US09692524

    申请日：2000-10-19

    申请人： Thomas G. Adelman ,  Frederick J. Foley ,  James S. Sharrow ,  Lorraine E. Reeve ,  Michael F. Hoey

    发明人： Thomas G. Adelman ,  Frederick J. Foley ,  James S. Sharrow ,  Lorraine E. Reeve ,  Michael F. Hoey

    IPC分类号： A61F200

    CPC分类号： A61B17/02 ,  A61B2017/306 ,  A61B2017/308 ,  A61B2018/00291

    摘要： Devices and methods of manipulating and stabilizing organ tissue, such as heart tissue. The devices, which are of varying sizes, shapes and conformations, generally include a seal member having a chamber with a wall and a skirt-like member that extends outward from the chamber wall for contact with a surface of an organ. The skirt-like member is substantially compliant and tacky, thereby promoting adhesion with the organ surface. Adherence of the device to the tissue may be enhance by the mechanical or hydraulic application of vacuum pressure. The methods describe steps for manipulating, including moving, lifting, immobilizing, turning and reorienting, organ tissues. Additional methods describe steps for manipulating the heart.

    摘要翻译： 操纵和稳定器官组织（如心脏组织）的装置和方法。 具有不同尺寸，形状和构造的装置通常包括密封构件，该密封构件具有带有壁的腔室和裙部状构件，其从室壁向外延伸以与器官的表面接触。 裙状构件基本上柔顺和粘性，从而促进与器官表面的粘附。 通过机械或液压施加真空压力可以增强装置对组织的粘附性。 该方法描述了操作的步骤，包括移动，提升，固定，转动和重新定向，器官组织。 其他方法描述了操纵心脏的步骤。

    Device and method for ablating tissue
    8.
    发明授权
    Device and method for ablating tissue 有权
    用于消融组织的装置和方法

    公开(公告)号：US07470272B2

    公开(公告)日：2008-12-30

    申请号：US10882944

    申请日：2004-06-30

    申请人： Peter M. J. Mulier ,  Michael F. Hoey

    发明人： Peter M. J. Mulier ,  Michael F. Hoey

    IPC分类号： A61B18/18

    CPC分类号： A61B18/1445 ,  A61B18/1402 ,  A61B2017/00296 ,  A61B2017/2945 ,  A61B2018/1425 ,  A61B2018/1432 ,  A61B2018/1472 ,  A61B2218/002

    摘要： An electrosurgery medical device is enhanced with unique solution-assistance, and comprises, in combination, co-operating device jaws including jaw portions for manipulating tissue, and a plurality of solution infusion openings defined and spaced along each of the jaw portions, for receiving electrolytic solution and infusing the solution onto and into tissue to be manipulated, along said jaw portions. As preferred, the device further comprises at least one, and most preferably, many, longitudinal groove(s) along at least one and most preferably, both, of the jaw portions, with the solution infusion openings located in the groove or grooves. The solution is energized with RF energy and contributes to the functions and beneficial effects of the instrument. The solution exits the openings in the grooves at sufficient flow rates to separate substantially all the operative surfaces of the device from tissue, thereby substantially completely preventing adherence between the operative surfaces and tissue. The solution is further energized to a range of energy densities such that tissues to be affected are sealed against flow of blood, lymphatic fluids, air, and other bodily fluids and gases.

    摘要翻译： 通过独特的解决方案辅助来增强电外科医疗装置，并且包括组合的合作装置钳口，包括用于操纵组织的钳口部分和沿着每个钳口部分限定和间隔开的多个溶液灌注开口，用于接收电解 溶液并将溶液注入并进入待操作的组织中，沿着所述钳口部分进行操作。 优选地，该装置还包括至少一个，并且最优选地，沿着至少一个，最优选两个钳口部分的纵向槽，溶液注入口位于槽或凹槽中。 该解决方案通过射频能量通电，并有助于仪器的功能和有益效果。 溶液以足够的流速离开槽中的开口，以将装置的基本上所有的操作表面与组织分离，从而基本上完全防止了操作表面和组织之间的粘附。 该溶液进一步通电到一定范围的能量密度，使得受影响的组织被密封以抵抗血液，淋巴液，空气和其它体液和气体的流动。

    Tissue sealing electrosurgery device and methods of sealing tissue
    10.
    发明授权
    Tissue sealing electrosurgery device and methods of sealing tissue 有权
    组织密封电外科装置及组织密封方法

    公开(公告)号：US06755827B2

    公开(公告)日：2004-06-29

    申请号：US10190736

    申请日：2002-07-08

    申请人： Peter M. J. Mulier ,  Michael F. Hoey

    发明人： Peter M. J. Mulier ,  Michael F. Hoey

    IPC分类号： A61B1818

    CPC分类号： A61B18/1445 ,  A61B18/1402 ,  A61B2017/00296 ,  A61B2017/2945 ,  A61B2018/1425 ,  A61B2018/1432 ,  A61B2018/1472 ,  A61B2218/002

    摘要： An electrosurgery medical device is enhanced with unique solution-assistance, and comprises, in combination, co-operating device jaws including jaw portions for manipulating tissue, and a plurality of solution infusion openings defined and spaced along each of the jaw portions, for receiving electrolytic solution and infusing the solution onto and into tissue to be manipulated, along said jaw portions. As preferred, the device further comprises at least one, and most preferably, many, longitudinal groove(s) along at least one and most preferably, both, of the jaw portions, with the solution infusion openings located in the groove or grooves. The solution is energized with RF energy and contributes to the functions and beneficial effects of the instrument. The solution exits the openings in the grooves at sufficient flow rates to separate substantially all the operative surfaces of the device from tissue, thereby substantially completely preventing adherence between the operative surfaces and tissue. The solution is further energized to a range of energy densities such that tissues to be affected are sealed against flow of blood, lymphatic fluids, air, and other bodily fluids and gases.

    摘要翻译： 通过独特的解决方案辅助来增强电外科医疗装置，并且组合包括用于操纵组织的合作装置夹爪和用于操纵组织的夹爪部分，以及沿着每个钳口部分限定和间隔开的多个溶液灌注开口，用于接收电解 溶液并将溶液注入并进入待操作的组织中，沿着所述钳口部分进行操作。 优选地，该装置还包括至少一个，并且最优选地，沿着至少一个，最优选两个钳口部分的纵向槽，溶液注入口位于槽或凹槽中。 该解决方案通过射频能量通电，并有助于仪器的功能和有益效果。 溶液以足够的流速离开槽中的开口，以将装置的基本上所有的操作表面与组织分离，从而基本上完全防止了操作表面和组织之间的粘附。 该溶液进一步通电到一定范围的能量密度，使得受影响的组织被密封以抵抗血液，淋巴液，空气和其它体液和气体的流动。