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公开(公告)号：US07947040B2
公开(公告)日：2011-05-24
申请号：US11265304
申请日：2005-11-03
IPC分类号： A61B18/18
CPC分类号： A61B18/1492 , A61B18/24 , A61B2018/00351
摘要： A method of surgical perforation via the delivery of electrical, radiant or thermal energy comprising the steps of: introducing an apparatus comprising an energy delivery device into a patient's heart via the patient's superior vena cava; positioning the energy delivery device at a first location adjacent material to be perforated; and perforating the material by delivering energy via the energy delivery device; wherein the energy is selected from the group consisting of electrical energy, radiant energy and thermal energy.
摘要翻译： 通过递送电，辐射或热能的手术穿孔的方法包括以下步骤：通过患者的上腔静脉将包含能量输送装置的装置引入患者的心脏; 将能量输送装置定位在邻近被穿孔材料的第一位置; 以及通过经由所述能量输送装置传递能量来穿透所述材料; 其中所述能量选自电能，辐射能和热能。
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公开(公告)号：US07048733B2
公开(公告)日：2006-05-23
申请号：US10666301
申请日：2003-09-19
IPC分类号： A61B18/18
CPC分类号： A61B18/1492 , A61B2018/00351 , A61B2018/00601 , A61B2018/00702 , A61B2018/00839 , A61B2090/064 , A61B2218/002
摘要： A device for creating a surgical perforation with a functional distal tip for creating a controlled perforation. The functional tip may comprise at least one active electrode for creating the perforation through the application of Radio Frequency (RF) energy. The device is curved in order to decrease the likelihood of injury to structures of a patient such as inadvertent cardiac perforation when used in transseptal perforation procedures. The device is introduced into the right atrium, and the functional tip is then positioned against the atrial septum. Energy is applied to create the perforation. The tip is advanced toward the left atrium to create the perforation and as it advances into the left atrium, the device takes on its curved shape to direct the tip away from cardiac structures. The position of the tip of the device can be determined in response to pressure sensed at the tip and determined by a monitor.
摘要翻译： 一种用于创建具有功能性远端的手术穿孔的装置，用于产生受控穿孔。 功能尖端可以包括至少一个用于通过应用射频（RF）能量产生穿孔的活性电极。 该装置是弯曲的，以便减少患者结构受伤的可能性，例如当用于经血管穿孔手术时无意心脏穿孔。 将该装置引入右心房，然后使功能性尖端抵靠于房间隔。 应用能量来创建穿孔。 尖端朝向左心房前进，以产生穿孔，并且当其进入左心房时，该装置呈弯曲形状以将尖端远离心脏结构。 可以响应于在尖端处感测到的压力并由监视器确定的装置的尖端的位置来确定。
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公开(公告)号：US20060142756A1
公开(公告)日：2006-06-29
申请号：US11265304
申请日：2005-11-03
申请人： Gareth Davies , Amanda Hartley , Naheed Visram , Krishan Shah , Frank Baylis
发明人： Gareth Davies , Amanda Hartley , Naheed Visram , Krishan Shah , Frank Baylis
IPC分类号： A61B18/18
CPC分类号： A61B18/1492 , A61B18/24 , A61B2018/00351
摘要： A method of surgical perforation via the delivery of electrical, radiant or thermal energy comprising the steps of: introducing an apparatus comprising an energy delivery device into a patient's heart via the patient's superior vena cava; positioning the energy delivery device at a first location adjacent material to be perforated; and perforating the material by delivering energy via the energy delivery device; wherein the energy is selected from the group consisting of electrical energy, radiant energy and thermal energy.
摘要翻译： 通过递送电，辐射或热能的手术穿孔的方法包括以下步骤：通过患者的上腔静脉将包含能量输送装置的装置引入患者的心脏; 将能量输送装置定位在邻近被穿孔材料的第一位置; 以及通过经由所述能量输送装置传递能量来穿透所述材料; 其中所述能量选自电能，辐射能和热能。
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公开(公告)号：US07112197B2
公开(公告)日：2006-09-26
申请号：US10347366
申请日：2003-01-21
CPC分类号： A61B18/1492 , A61B2018/00351 , A61B2018/00601 , A61B2018/00702 , A61B2018/00839 , A61B2090/064 , A61B2218/002
摘要： A device with a functional tip containing at least one active electrode capable of creating a controlled perforation in body tissue through the application of Radio Frequency (RF) energy is described. The position of the tip of the device can be determined in response to pressure sensed at the tip and determined by a monitor. The device is useful to remove or perforate unwanted tissue in a controlled manner in any location in the body, particularly in the atrial septum for controlled transseptal puncture. In this application, the device is introduced into the right atrium, and the functional tip is then positioned against the atrial septum. Energy is applied to create the perforation and pressure is monitored to determine if the perforation was created in a desired location. Other possible applications include the removal of plaque or thrombotic occlusions from diseased vessels.
摘要翻译： 描述了具有功能尖端的装置，其包含至少一个能够通过应用射频（RF）能量在身体组织中产生受控穿孔的活性电极。 可以响应于在尖端处感测到的压力并由监视器确定的装置的尖端的位置来确定。 该装置可用于以受控的方式在身体的任何位置，特别是在用于受控经血穿刺的房间隔中去除或穿孔不需要的组织。 在该应用中，将装置引入右心房，然后将功能性尖端定位在心房隔膜上。 施加能量以产生穿孔并且监测压力以确定穿孔是否在期望的位置产生。 其他可能的应用包括从患病血管中去除斑块或血栓闭塞。
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公开(公告)号：US09597146B2
公开(公告)日：2017-03-21
申请号：US13113326
申请日：2011-05-23
申请人： Gareth Davies , Amanda Hartley , Naheed Visram , Krishan Shah , Frank Baylls
发明人： Gareth Davies , Amanda Hartley , Naheed Visram , Krishan Shah , Frank Baylls
CPC分类号： A61B18/1492 , A61B18/1206 , A61B18/24 , A61B2018/00351 , A61B2018/00839 , A61B2090/064 , A61B2090/3966
摘要： Apparatuses and methods for the perforation of heart tissue of a patient when an inferior approach to the heart is contraindicated are disclosed. The method includes using a superior approach to introduce the apparatus, positioning the apparatus at a tissue location and delivering a controlled amount of non-mechanical energy to the tissue to create a perforation. For example, a method of surgical perforation via the delivery of electrical, radiant or thermal energy may include: introducing an apparatus comprising an energy delivery device into a patient's heart via the patient's superior vena cava; positioning the energy delivery device at a first location adjacent material to be perforated; and perforating the material by delivering energy via the energy delivery device; wherein the energy is selected from the group consisting of electrical energy, radiant energy and thermal energy.
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公开(公告)号：US20110224666A1
公开(公告)日：2011-09-15
申请号：US13113326
申请日：2011-05-23
申请人： Gareth Davies , Amanda Hartley , Naheed Visram , Krishan Shah , Frank Baylls
发明人： Gareth Davies , Amanda Hartley , Naheed Visram , Krishan Shah , Frank Baylls
CPC分类号： A61B18/1492 , A61B18/1206 , A61B18/24 , A61B2018/00351 , A61B2018/00839 , A61B2090/064 , A61B2090/3966
摘要： Apparatuses and methods for the perforation of heart tissue of a patient when an inferior approach to the heart is contraindicated are disclosed. The method includes using a superior approach to introduce the apparatus, positioning the apparatus at a tissue location and delivering a controlled amount of non-mechanical energy to the tissue to create a perforation. For example, a method of surgical perforation via the delivery of electrical, radiant or thermal energy may include: introducing an apparatus comprising an energy delivery device into a patient's heart via the patient's superior vena cava; positioning the energy delivery device at a first location adjacent material to be perforated; and perforating the material by delivering energy via the energy delivery device; wherein the energy is selected from the group consisting of electrical energy, radiant energy and thermal energy.
摘要翻译： 公开了当对心脏进行较差接近时，用于穿透患者心脏组织的装置和方法。 该方法包括使用优异的方法来引入装置，将装置定位在组织位置处，并将受控量的非机械能传递给组织以产生穿孔。 例如，通过递送电，辐射或热能的手术穿孔的方法可以包括：通过患者的上腔静脉将包含能量输送装置的装置引入患者的心脏; 将能量输送装置定位在邻近被穿孔材料的第一位置; 以及通过经由所述能量输送装置传递能量来穿透所述材料; 其中所述能量选自电能，辐射能和热能。
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公开(公告)号：US20050065507A1
公开(公告)日：2005-03-24
申请号：US10666301
申请日：2003-09-19
申请人： Amanda Hartley , Krishan Shah , Naheed Visram , Frank Baylis
发明人： Amanda Hartley , Krishan Shah , Naheed Visram , Frank Baylis
CPC分类号： A61B18/1492 , A61B2018/00351 , A61B2018/00601 , A61B2018/00702 , A61B2018/00839 , A61B2090/064 , A61B2218/002
摘要： A device for creating a surgical perforation with a functional distal tip for creating a controlled perforation. The functional tip may comprise at least one active electrode for creating the perforation through the application of Radio Frequency (RF) energy. The device is curved in order to decrease the likelihood of injury to structures of a patient such as inadvertent cardiac perforation when used in transseptal perforation procedures. The device is introduced into the right atrium, and the functional tip is then positioned against the atrial septum. Energy is applied to create the perforation. The tip is advanced toward the left atrium to create the perforation and as it advances into the left atrium, the device takes on its curved shape to direct the tip away from cardiac structures. The position of the tip of the device can be determined in response to pressure sensed at the tip and determined by a monitor.
摘要翻译： 一种用于创建具有功能性远端的手术穿孔的装置，用于产生受控穿孔。 功能尖端可以包括至少一个用于通过应用射频（RF）能量产生穿孔的活性电极。 该装置是弯曲的，以便减少患者结构受伤的可能性，例如当用于经血管穿孔手术时无意心脏穿孔。 将该装置引入右心房，然后使功能性尖端抵靠于房间隔。 应用能量来创建穿孔。 尖端朝向左心房前进，以产生穿孔，并且当其进入左心房时，该装置呈弯曲形状以将尖端远离心脏结构。 可以响应于在尖端处感测到的压力并由监视器确定的装置的尖端的位置来确定。
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8.发明授权Surgical perforation device with electrocardiogram (ECG) monitoring ability and method of using ECG to position a surgical perforation device 有权具有心电图（ECG）监测能力的手术穿孔装置和使用ECG定位手术穿孔装置的方法公开(公告)号：US07270662B2
公开(公告)日：2007-09-18
申请号：US10760479
申请日：2004-01-21
申请人： Naheed Visram , Krishan Shah
发明人： Naheed Visram , Krishan Shah
IPC分类号： A61B18/18
CPC分类号： A61B18/1492 , A61B2018/00351 , A61B2018/00601 , A61B2018/00702 , A61B2018/00839 , A61B2090/064 , A61B2218/002
摘要： A device with a functional tip containing at least one active electrode capable of creating a controlled perforation in body tissue through the application of energy (e.g. Radio Frequency (RF)) is described. The position of the tip of the device can be determined in response to ECG measured at the tip and determined by a monitor coupled to the device. The device is useful to remove or perforate unwanted tissue in a controlled manner in any location in the body, particularly in the atrial septum for controlled transseptal puncture. In this application, the device is introduced into the right atrium, and the functional tip is then positioned against the atrial septum. ECG is used to locate the region of the fossa ovalis on the atrial septum. Energy is applied to create the perforation and ECG is monitored to determine if the perforation was created in a desired location.
摘要翻译： 描述了具有功能尖端的装置，其具有能够通过施加能量（例如射频（RF））在身体组织中产生受控穿孔的至少一个活性电极。 装置的尖端的位置可以响应于在尖端处测量并由耦合到该装置的监视器确定的ECG来确定。 该装置可用于以受控的方式在身体的任何位置，特别是在用于受控经血穿刺的房间隔中去除或穿孔不需要的组织。 在该应用中，将装置引入右心房，然后将功能性尖端定位在心房隔膜上。 心电图用于定位卵巢卵巢的区域在房间隔。 施加能量以产生穿孔，并且监测ECG以确定穿孔是否在期望的位置产生。
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9.发明申请Surgical perforation device with electrocardiogram (ECG) monitoring ability and method of using ECG to position a surgical perforation device 有权具有心电图（ECG）监测能力的手术穿孔装置和使用ECG定位手术穿孔装置的方法公开(公告)号：US20050159738A1
公开(公告)日：2005-07-21
申请号：US10760479
申请日：2004-01-21
申请人： Naheed Visram , Krishan Shah
发明人： Naheed Visram , Krishan Shah
CPC分类号： A61B18/1492 , A61B2018/00351 , A61B2018/00601 , A61B2018/00702 , A61B2018/00839 , A61B2090/064 , A61B2218/002
摘要： A device with a functional tip containing at least one active electrode capable of creating a controlled perforation in body tissue through the application of energy (e.g. Radio Frequency (RF)) is described. The position of the tip of the device can be determined in response to ECG measured at the tip and determined by a monitor coupled to the device. The device is useful to remove or perforate unwanted tissue in a controlled manner in any location in the body, particularly in the atrial septum for controlled transseptal puncture. In this application, the device is introduced into the right atrium, and the functional tip is then positioned against the atrial septum. ECG is used to locate the region of the fossa ovalis on the atrial septum. Energy is applied to create the perforation and ECG is monitored to determine if the perforation was created in a desired location.
摘要翻译： 描述了具有功能尖端的装置，其具有能够通过施加能量（例如射频（RF））在身体组织中产生受控穿孔的至少一个活性电极。 装置的尖端的位置可以响应于在尖端处测量并由耦合到该装置的监视器确定的ECG来确定。 该装置可用于以受控的方式在身体的任何位置，特别是在用于受控经血穿刺的房间隔中去除或穿孔不需要的组织。 在该应用中，将装置引入右心房，然后将功能性尖端定位在心房隔膜上。 心电图用于定位卵巢卵巢的区域在房间隔。 施加能量以产生穿孔，并且监测ECG以确定穿孔是否在期望的位置产生。
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公开(公告)号：US20080208121A1
公开(公告)日：2008-08-28
申请号：US11905448
申请日：2007-10-01
IPC分类号： A61B18/14
CPC分类号： A61B18/1492 , A61B8/12 , A61B2018/00083 , A61B2018/00214 , A61B2018/00702 , A61B2018/00875 , A61B2018/00898
摘要： A method for creating a channel through a foreign material located in a body of a patient, the foreign material defining a material first surface and a substantially opposed material second surface, the channel extending through the foreign material between the material first and second surfaces, the method using an apparatus including a substantially elongated member defining a proximal end region and a substantially longitudinally opposed distal end region, the apparatus including an electrode located about the distal end region, the method comprising: introducing the distal end region into the body of the patient; positioning the electrode substantially adjacent to the material first surface; energizing the electrode with a radiofrequency current; and using the electrode energized with the radiofrequency current to deliver energy into the foreign material to create the channel.
摘要翻译： 一种用于通过位于患者体内的异物产生通道的方法，所述异物限定材料第一表面和基本相对的材料第二表面，所述通道在材料第一表面和第二表面之间延伸穿过异物， 使用包括限定近端区域和基本上纵向相对的远端区域的基本上细长的构件的设备的方法，所述设备包括围绕所述远端区域的电极，所述方法包括：将所述远端区域引入所述患者体内 ; 将电极定位成与材料第一表面基本相邻; 用射频电流激励电极; 并且使用通过射频电流通电的电极将能量输送到异物以产生通道。
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