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    CARDIAC ABLATION SYSTEM WITH INFLATABLE MEMBER HAVING MULTIPLE INFLATION SETTINGS
    1.
    发明申请
    CARDIAC ABLATION SYSTEM WITH INFLATABLE MEMBER HAVING MULTIPLE INFLATION SETTINGS 审中-公开
    具有多个充气设置的可充气会员的心脏吸收系统

    公开(公告)号：US20110082450A1

    公开(公告)日：2011-04-07

    申请号：US12895987

    申请日：2010-10-01

    申请人： Gerald Melsky ,  Brian Estabrook ,  Alfred Stancampiano

    发明人： Gerald Melsky ,  Brian Estabrook ,  Alfred Stancampiano

    IPC分类号： A61B18/18

    CPC分类号： A61B18/24 ,  A61B34/25 ,  A61B2017/00243 ,  A61B2017/22059 ,  A61B2018/00982 ,  A61B2018/2025 ,  A61B2018/2266 ,  A61B2018/2272 ,  A61B2090/306 ,  A61B2090/3614

    摘要： A cardiac tissue ablation system includes an elongate catheter configured to deliver a distal end thereof to a patient's heart and an expandable member formed at the distal portion of the catheter. The expandable member has an elastic portion configured to conform to the shape of a target tissue region upon expansion. The expandable member has a plurality of inflation settings that correspond to different levels of inflation of the expandable member. The system also includes a controller for selecting an inflation setting for the expandable member and an energy emitter movably disposed within a lumen of the catheter. The energy emitter is configured to deliver radiant ablative energy to the target tissue region.

    摘要翻译： 心脏组织消融系统包括细长导管，其构造成将其远端输送到患者的心脏，以及形成在导管的远端部分处的可扩张构件。 可膨胀构件具有弹性部分，其构造成在膨胀时符合目标组织区域的形状。 可膨胀构件具有对应于可膨胀构件的不同膨胀水平的多个充气设定。 该系统还包括用于选择用于可膨胀构件的膨胀设定的控制器和可移动地设置在导管内腔内的能量发射器。 能量发射器被配置为向目标组织区域传递辐射消融能量。

    Cardiac ablation catheters for forming overlapping lesions
    2.
    发明授权
    Cardiac ablation catheters for forming overlapping lesions 有权
    用于形成重叠病变的心脏消融导管

    公开(公告)号：US09033961B2

    公开(公告)日：2015-05-19

    申请号：US12423178

    申请日：2009-04-14

    申请人： Gerald Melsky ,  Stephen W. Sagon ,  Alfred Stancampiano ,  Jeffrey M. Arnold ,  Lincoln S. Baxter

    发明人： Gerald Melsky ,  Stephen W. Sagon ,  Alfred Stancampiano ,  Jeffrey M. Arnold ,  Lincoln S. Baxter

    IPC分类号： A61B5/06 ,  A61B18/24 ,  A61B17/00 ,  A61B18/00 ,  A61B18/22 ,  A61B19/00 ,  A61N7/02

    CPC分类号： A61B18/245 ,  A61B2017/00057 ,  A61B2017/00061 ,  A61B2018/0097 ,  A61B2018/2261 ,  A61B2018/2266 ,  A61B2018/2272 ,  A61B2090/065 ,  A61N7/02

    摘要： Methods and instruments are disclosed for creating lesions in tissue, especially cardiac tissue, for treatment of arrhythmias and the like, by employing an elastic balloon and an energy emitter, which is independently positionable within the lumen of the instrument and adapted to project a series of spots of ablative energy through a transmissive region of the balloon to a target tissue site. The energy emitter preferably is configured such the spots of energy result in a series of lesions formed in the target tissue region when the emitter is activated, the lesions having an average area ranging from about 5 mm2 to about 100 mm2. In one aspect of the invention, percutaneous ablation instruments are disclosed in the form of catheter bodies having one or more balloon structures at the distal end region of the instrument and an energy emitting element, which is independently positionable and rotatable within a lumen of the instrument and adapted to project ablative energy through a transmissive region of the balloon to a target tissue site in contact with, or proximal to, the balloon surface.

    摘要翻译： 公开了用于通过使用弹性球囊和能量发射器在组织，特别是心脏组织中产生损伤来治疗心律不齐等的方法和仪器，所述弹性球囊和能量发射器可独立地定位在所述仪器的内腔内并适于投射一系列 通过球囊的透射区域到目标组织部位的烧蚀能量的斑点。 能量发射体优选配置成当发射体被激活时，能量斑点导致在靶组织区域中形成的一系列病变，病变的平均面积范围为约5mm 2至约100mm 2。 在本发明的一个方面，经皮消融器具以在仪器的远端区域具有一个或多个球囊结构的导管体的形式被公开，并且能量发射元件可在仪器的内腔内独立地定位和旋转 并且适于将消融能量通过球囊的透射区域投射到与球囊表面接触或接近的目标组织部位。

    CARDIAC ABLATION CATHETERS FOR FORMING OVERLAPPING LESIONS
    3.
    发明申请
    CARDIAC ABLATION CATHETERS FOR FORMING OVERLAPPING LESIONS 有权
    用于形成超重力的心脏吸收管

    公开(公告)号：US20090299354A1

    公开(公告)日：2009-12-03

    申请号：US12423178

    申请日：2009-04-14

    申请人： Gerald Melsky ,  Stephen W. Sagon ,  Alfred Stancampiano ,  Jeffrey M. Arnold ,  Lincoln S. Baxter

    发明人： Gerald Melsky ,  Stephen W. Sagon ,  Alfred Stancampiano ,  Jeffrey M. Arnold ,  Lincoln S. Baxter

    IPC分类号： A61B18/24

    CPC分类号： A61B18/245 ,  A61B2017/00057 ,  A61B2017/00061 ,  A61B2018/0097 ,  A61B2018/2261 ,  A61B2018/2266 ,  A61B2018/2272 ,  A61B2090/065 ,  A61N7/02

    摘要： Methods and instruments are disclosed for creating lesions in tissue, especially cardiac tissue, for treatment of arrhythmias and the like, by employing an elastic balloon and an energy emitter, which is independently positionable within the lumen of the instrument and adapted to project a series of spots of ablative energy through a transmissive region of the balloon to a target tissue site. The energy emitter preferably is configured such the spots of energy result in a series of lesions formed in the target tissue region when the emitter is activated, the lesions having an average area ranging from about 5 mm2 to about 100 mm2. In one aspect of the invention, percutaneous ablation instruments are disclosed in the form of catheter bodies having one or more balloon structures at the distal end region of the instrument and an energy emitting element, which is independently positionable and rotatable within a lumen of the instrument and adapted to project ablative energy through a transmissive region of the balloon to a target tissue site in contact with, or proximal to, the balloon surface.

    摘要翻译： 公开了用于通过使用弹性球囊和能量发射器在组织，特别是心脏组织中产生损伤来治疗心律不齐等的方法和仪器，所述弹性球囊和能量发射器可独立地定位在所述仪器的内腔内并适于投射一系列 通过球囊的透射区域到目标组织部位的烧蚀能量的斑点。 能量发射体优选配置成当发射体被激活时，能量斑点导致在靶组织区域中形成的一系列病变，病变的平均面积范围为约5mm 2至约100mm 2。 在本发明的一个方面，经皮消融器具以在仪器的远端区域具有一个或多个球囊结构的导管体的形式被公开，并且能量发射元件可在仪器的内腔内独立地定位和旋转 并且适于将消融能量通过球囊的透射区域投射到与球囊表面接触或接近的目标组织部位。

    Methods of cardiac ablation employing a deflectable sheath catheter
    5.
    发明申请
    Methods of cardiac ablation employing a deflectable sheath catheter 审中-公开
    心脏消融方法采用可挠性护套导管

    公开(公告)号：US20050222558A1

    公开(公告)日：2005-10-06

    申请号：US11062906

    申请日：2005-02-22

    申请人： Lincoln Baxter ,  Jeffrey Arnold ,  Gerald Melsky

    发明人： Lincoln Baxter ,  Jeffrey Arnold ,  Gerald Melsky

    IPC分类号： A61B17/22 ,  A61B18/02 ,  A61B18/04 ,  A61B18/14 ,  A61B18/18 ,  A61B18/20 ,  A61B18/24 ,  A61N7/02

    CPC分类号： A61B18/1492 ,  A61B18/24 ,  A61B2017/22051 ,  A61B2018/00214 ,  A61B2018/0022 ,  A61B2018/00285 ,  A61B2018/00375 ,  A61B2018/0262 ,  A61N7/02

    摘要： The present invention provides devices and methods for the treatment of atrial fibrillation. In one embodiment method for treatment of atrial fibrillation is provided that includes positioning a sheath catheter having a deflectable distal end segment in the left atrium of a heart, orienting said sheath catheter such that an ablation instrument can be delivered through the sheath catheter to a position proximal to a first pulmonary vein, activating the ablation instrument to form a circumferential lesion around the first pulmonary vein, repositioning the sheath catheter by deflecting the distal end segment to another orientation, and activating the ablation instrument to form a circumferential lesion around at least one additional pulmonary vein.

    摘要翻译： 本发明提供了用于治疗房颤的装置和方法。 在一个实施方案中，提供了一种用于治疗心房颤动的方法，其包括将具有可偏转的远端段的护套导管定位在心脏的左心房中，定向所述护套导管，使得消融器械可以通过护套导管递送到位置 接近第一肺静脉，激活消融器械以形成围绕第一肺静脉的周围损伤，通过将远端段偏转到另一取向来重新定位鞘导管，并激活消融器械以形成围绕至少一个的周围损伤 额外的肺静脉。