公开(公告)号：US07419489B2

公开(公告)日：2008-09-02

申请号：US11328565

申请日：2006-01-10

申请人： Guy P. Vanney ,  Jeremy D. Dando ,  Joshua L. Dudney

发明人： Guy P. Vanney ,  Jeremy D. Dando ,  Joshua L. Dudney

IPC分类号： A61B18/14

CPC分类号： A61B18/1492 ,  A61B2017/00867 ,  A61B2018/00041 ,  A61B2018/00375 ,  A61B2018/1472 ,  C08L2201/12

摘要： An ablation catheter having a catheter shaft and a virtual electrode, the virtual electrode comprising portholes through an outer peripheral wall of the catheter shaft and a metal electrode, the catheter being used for treatment of cardiac arrhythmia, for example, atrial fibrillation, by electrically isolating a vessel, such as a pulmonary vein, from a chamber, such as the left atrium. The catheter shaft includes a proximal portion and a distal portion. The distal portion includes an active region, which is either a looped structure transverse to the longitudinal axis of the catheter shaft, or a linear structure that extends parallel to the longitudinal axis of the catheter shaft. During use, the active region is directed into contact with, for example, the wall of a pulmonary vein. Upon energization, the virtual electrode creates a continuous lesion on an inner wall of the pulmonary vein, thereby electrically isolating the pulmonary vein from the left atrium.

摘要翻译： 一种具有导管轴和虚拟电极的消融导管，所述虚拟电极包括穿过导管轴的外周壁的舷孔和金属电极，所述导管用于治疗心律失常，例如心房颤动，通过电隔离 来自诸如左心房的腔室的血管（例如肺静脉）。 导管轴包括近端部分和远端部分。 远侧部分包括活动区域，其是横向于导管轴的纵向轴线的环形结构，或者平行于导管轴的纵向轴线延伸的线性结构。 在使用期间，有源区域被引导与例如肺静脉的壁接触。 在通电时，虚拟电极在肺静脉的内壁上产生连续的病变，从而将肺静脉与左心房电隔离。

公开(公告)号：US06984232B2

公开(公告)日：2006-01-10

申请号：US10347034

申请日：2003-01-17

申请人： Guy P. Vanney ,  Jeremy D. Dando ,  Joshua L. Dudney

发明人： Guy P. Vanney ,  Jeremy D. Dando ,  Joshua L. Dudney

IPC分类号： A61B18/18

CPC分类号： A61B18/1492 ,  A61B2017/00867 ,  A61B2018/00041 ,  A61B2018/00375 ,  A61B2018/1472 ,  C08L2201/12

摘要： An ablation catheter having a catheter shaft and a virtual electrode, the virtual electrode comprising portholes through an outer peripheral wall of the catheter shaft and a metal electrode, the catheter being used for treatment of cardiac arrhythmia, for example, atrial fibrillation, by electrically isolating a vessel, such as a pulmonary vein, from a chamber, such as the left atrium. The catheter shaft includes a proximal portion and a distal portion. The distal portion includes an active region, which is either a looped structure transverse to the longitudinal axis of the catheter shaft, or a linear structure that extends parallel to the longitudinal axis of the catheter shaft. During use, the active region is directed into contact with, for example, the wall of a pulmonary vein. Upon energization, the virtual electrode creates a continuous lesion on an inner wall of the pulmonary vein, thereby electrically isolating the pulmonary vein from the left atrium.

摘要翻译： 一种具有导管轴和虚拟电极的消融导管，所述虚拟电极包括穿过导管轴的外周壁的舷孔和金属电极，所述导管用于治疗心律失常，例如心房颤动，通过电隔离 来自诸如左心房的腔室的血管，例如肺静脉。 导管轴包括近端部分和远端部分。 远侧部分包括活动区域，其是横向于导管轴的纵向轴线的环形结构，或者平行于导管轴的纵向轴线延伸的线性结构。 在使用期间，有源区域被引导与例如肺静脉的壁接触。 在通电时，虚拟电极在肺静脉的内壁上产生连续的病变，从而将肺静脉与左心房电隔离。

公开(公告)号：US08864758B2

公开(公告)日：2014-10-21

申请号：US12127666

申请日：2008-05-27

申请人： Guy P. Vanney ,  Jeremy D. Dando

发明人： Guy P. Vanney ,  Jeremy D. Dando

IPC分类号： A61B18/14 ,  A61B18/00 ,  A61B17/00 ,  A61M25/00

CPC分类号： A61B18/1492 ,  A61B2017/00867 ,  A61B2018/00065 ,  A61B2018/00375 ,  A61B2018/1472 ,  A61M25/0041 ,  C08L2201/12

摘要： A catheter used for diagnosing and treating, for example, atrial fibrillation. The catheter includes a catheter shaft that has a proximal portion and a distal portion. The distal portion is adapted to be inserted into a body cavity having tissue to be diagnosed or treated and is disposed remotely from the proximal portion. The distal portion, which may be curved or straight, comprises an outer peripheral wall having an active region, and the distal portion has a cross-sectional configuration along the active region. The cross-sectional configuration is adapted to bias the active region against the tissue to be diagnosed or treated.

摘要翻译： 用于诊断和治疗例如心房颤动的导管。 导管包括具有近端部分和远端部分的导管轴。 远侧部分适于插入具有要被诊断或治疗的组织的体腔中并远离近端部分设置。 远侧部分可以是弯曲的或直的，包括具有活动区域的外周壁，并且远端部分沿着活动区域具有横截面构造。 横截面构造适于将活动区域偏压到待诊断或治疗的组织上。

公开(公告)号：US07387629B2

公开(公告)日：2008-06-17

申请号：US10608257

申请日：2003-06-27

申请人： Guy P. Vanney ,  Jeremy D. Dando

发明人： Guy P. Vanney ,  Jeremy D. Dando

IPC分类号： A61B18/18

CPC分类号： A61B18/1492 ,  A61B2017/00867 ,  A61B2018/00065 ,  A61B2018/00375 ,  A61B2018/1472 ,  A61M25/0041 ,  C08L2201/12

摘要： A catheter used for diagnosing and treating, for example, atrial fibrillation. The catheter includes a catheter shaft that has a proximal portion and a distal portion. The distal portion is adapted to be inserted into a body cavity having tissue to be diagnosed or treated and is disposed remotely from the proximal portion. The distal portion, which may be curved or straight, comprises an outer peripheral wall having an active region, and the distal portion has a cross-sectional configuration along the active region. The cross-sectional configuration is adapted to bias the active region against the tissue to be diagnosed or treated.

摘要翻译： 用于诊断和治疗例如心房颤动的导管。 导管包括具有近端部分和远端部分的导管轴。 远侧部分适于插入具有要被诊断或治疗的组织的体腔中并远离近端部分设置。 远侧部分可以是弯曲的或直的，包括具有活动区域的外周壁，并且远端部分沿着活动区域具有横截面构造。 横截面构造适于将活动区域偏压到待诊断或治疗的组织上。

公开(公告)号：US06960207B2

公开(公告)日：2005-11-01

申请号：US10608297

申请日：2003-06-27

申请人： Guy P. Vanney ,  Jeremy D. Dando

发明人： Guy P. Vanney ,  Jeremy D. Dando

IPC分类号： A61B18/14 ,  A61B18/18

CPC分类号： A61B18/1492 ,  A61B2017/00867 ,  A61B2018/00065 ,  A61B2018/00375 ,  A61B2018/1472 ,  C08L2201/12

摘要： An ablation catheter used for treatment of, for example, atrial fibrillation by electrically isolating a vessel, such as a pulmonary vein, from a chamber, such as the left atrium. The ablation catheter has a virtual electrode and a catheter shaft. The virtual electrode comprises a porous conductor. The catheter shaft includes a proximal portion and a distal portion. The distal portion includes an active region, which is either a looped structure transverse to the longitudinal axis of the catheter shaft, or a linear structure that extends parallel to the longitudinal axis of the catheter shaft. During use, the active region is directed into contact with, for example, the wall of a pulmonary vein and, upon energization, the virtual electrode creates a continuous lesion at or near the ostium of the pulmonary vein, thereby electrically isolating the pulmonary vein from the left atrium.

摘要翻译： 一种消融导管，用于通过从腔室（例如左心房）电隔离血管（例如肺静脉）来治疗例如心房颤动。 消融导管具有虚拟电极和导管轴。 虚拟电极包括多孔导体。 导管轴包括近端部分和远端部分。 远侧部分包括活动区域，其是横向于导管轴的纵向轴线的环形结构，或者平行于导管轴的纵向轴线延伸的线性结构。 在使用期间，有源区域被引导与例如肺静脉的壁接触，并且在通电时，虚拟电极在肺静脉的口处或其附近产生连续的病变，从而将肺静脉与 左心房。

公开(公告)号：US20080228183A1

公开(公告)日：2008-09-18

申请号：US12127666

申请日：2008-05-27

申请人： Guy P. VANNEY ,  Jeremy D. Dando

发明人： Guy P. VANNEY ,  Jeremy D. Dando

IPC分类号： A61B18/14

CPC分类号： A61B18/1492 ,  A61B2017/00867 ,  A61B2018/00065 ,  A61B2018/00375 ,  A61B2018/1472 ,  A61M25/0041 ,  C08L2201/12

摘要： A catheter used for diagnosing and treating, for example, atrial fibrillation. The catheter includes a catheter shaft that has a proximal portion and a distal portion. The distal portion is adapted to be inserted into a body cavity having tissue to be diagnosed or treated and is disposed remotely from the proximal portion. The distal portion, which may be curved or straight, comprises an outer peripheral wall having an active region, and the distal portion has a cross-sectional configuration along the active region. The cross-sectional configuration is adapted to bias the active region against the tissue to be diagnosed or treated.

摘要翻译： 用于诊断和治疗例如心房颤动的导管。 导管包括具有近端部分和远端部分的导管轴。 远侧部分适于插入具有要被诊断或治疗的组织的体腔中并远离近端部分设置。 远侧部分可以是弯曲的或直的，包括具有活动区域的外周壁，并且远端部分沿着活动区域具有横截面构造。 横截面构造适于将活动区域偏压到待诊断或治疗的组织上。

公开(公告)号：US07326208B2

公开(公告)日：2008-02-05

申请号：US11264649

申请日：2005-11-01

申请人： Guy P. Vanney ,  Jeremy D. Dando

发明人： Guy P. Vanney ,  Jeremy D. Dando

IPC分类号： A61B18/14

CPC分类号： A61B18/1492 ,  A61B2017/00867 ,  A61B2018/00065 ,  A61B2018/00375 ,  A61B2018/1472 ,  C08L2201/12

摘要： An ablation catheter used for treatment of, for example, atrial fibrillation by electrically isolating a vessel, such as a pulmonary vein, from a chamber, such as the left atrium. The ablation catheter has a virtual electrode and a catheter shaft. The virtual electrode comprises a porous conductor. The catheter shaft includes a proximal portion and a distal portion. The distal portion includes an active region, which is either a looped structure transverse to the longitudinal axis of the catheter shaft, or a linear structure that extends parallel to the longitudinal axis of the catheter shaft. During use, the active region is directed into contact with, for example, the wall of a pulmonary vein and, upon energization, the virtual electrode creates a continuous lesion at or near the ostium of the pulmonary vein, thereby electrically isolating the pulmonary vein from the left atrium.

摘要翻译： 一种消融导管，用于通过从腔室（例如左心房）电隔离血管（例如肺静脉）来治疗例如心房颤动。 消融导管具有虚拟电极和导管轴。 虚拟电极包括多孔导体。 导管轴包括近端部分和远端部分。 远侧部分包括活动区域，其是横向于导管轴的纵向轴线的环形结构，或者平行于导管轴的纵向轴线延伸的线性结构。 在使用期间，有源区域被引导与例如肺静脉的壁接触，并且在通电时，虚拟电极在肺静脉的口处或其附近产生连续的病变，从而将肺静脉与 左心房。

公开(公告)号：US08473029B2

公开(公告)日：2013-06-25

申请号：US13465835

申请日：2012-05-07

申请人： John P. Gerhart ,  Harry Puryear ,  Jeremy D. Dando ,  Scott R. Petersen

发明人： John P. Gerhart ,  Harry Puryear ,  Jeremy D. Dando ,  Scott R. Petersen

IPC分类号： A61B5/055

CPC分类号： A61B5/042 ,  A61B5/055 ,  A61B5/06 ,  A61B18/1492

摘要： A catheter comprises an elongate body extending along a first longitudinal axis and having an outermost radial surface; a coil wound in a substantially cylindrical shape and extending along a second longitudinal axis that is coincident with the first longitudinal axis. At least a portion of the coil is proximate to the outermost radial surface of the elongate body.

摘要翻译： 导管包括沿着第一纵向轴线延伸并且具有最外侧径向表面的细长主体; 缠绕成大致圆筒形并且沿着与第一纵向轴线重合的第二纵向轴线延伸的线圈。 线圈的至少一部分靠近细长体的最外径向表面。

公开(公告)号：US20120150175A1

公开(公告)日：2012-06-14

申请号：US13402451

申请日：2012-02-22

申请人： Huisun Wang ,  Jeremy D. Dando ,  Harry Puryear

发明人： Huisun Wang ,  Jeremy D. Dando ,  Harry Puryear

IPC分类号： A61B18/14

CPC分类号： A61B18/1492 ,  A61B2017/00084 ,  A61B2018/00577 ,  A61B2218/002

摘要： Embodiments of the present invention provide an irrigated catheter having irrigation fluid directed at target areas where coagulation is more likely to occur so as to minimize blood coagulation and the associated problems. In one embodiment, an irrigated ablation electrode assembly for use with an irrigated catheter device comprises a proximal member having at least one passageway for a fluid with an outlet disposed at an external surface of the proximal member; and a distal member connected with the proximal member and having an external surface. The distal member includes an electrode. The external surface of the proximal member and the external surface of the distal member meet at an intersection. The at least one passageway of the proximal member is configured to direct a fluid flow through the outlet toward a region adjacent the intersection.

摘要翻译： 本发明的实施方案提供了一种具有冲洗流体的灌溉导管，该冲洗流体被引导到更可能发生凝结的目标区域，从而使血液凝固和相关问题最小化。 在一个实施例中，一种与灌溉导管装置一起使用的灌溉消融电极组件包括近端构件，其具有用于流体的至少一个通道，其中出口设置在近端构件的外表面处; 以及与所述近端构件连接并具有外表面的远侧构件。 远侧构件包括电极。 近端构件的外表面和远端构件的外表面在相交处相交。 近端构件的至少一个通道构造成将流体流动引导通过邻近交叉点的区域。

公开(公告)号：US08147486B2

公开(公告)日：2012-04-03

申请号：US11752755

申请日：2007-05-23

申请人： Kirk S. Honour ,  Michael J. Johnson ,  Gabriel A. Mouchawar ,  Jeremy D. Dando ,  Christine M. Byam

发明人： Kirk S. Honour ,  Michael J. Johnson ,  Gabriel A. Mouchawar ,  Jeremy D. Dando ,  Christine M. Byam

IPC分类号： A61B18/14 ,  A61B18/18

CPC分类号： A61B5/0422 ,  A61B5/6852 ,  A61B18/1492 ,  A61B2018/00839 ,  A61B2562/227 ,  A61N1/05

摘要： A catheter or lead having a flexible printed circuit for conveying signals and/or energy. Each trace may be in electrical connection with one or more external electrical contacts. More specifically, each trace is typically electrically connected to a single contact. The traces and contacts may assist in diagnosis and/or detection of bio-electrical signals emitted by organs, and may transmit such signals to a connector or diagnostic device affixed to the catheter. The external electrical contacts may detect bioelectric energy or may deliver electrical or thermal energy to a target site.

摘要翻译： 具有用于传送信号和/或能量的柔性印刷电路的导管或导线。 每个迹线可以与一个或多个外部电触点电连接。 更具体地，每个迹线通常电连接到单个接触。 迹线和触点可以有助于诊断和/或检测由器官发射的生物电信号，并且可以将这些信号传输到固定到导管的连接器或诊断装置。 外部电触点可以检测生物电能或者可以将电能或热能传递到目标部位。