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公开(公告)号:US06980843B2
公开(公告)日:2005-12-27
申请号:US10443113
申请日:2003-05-21
申请人: Michael Eng , Raju R. Viswanathan , Peter R. Werp , Ilker Tunay , Ashwini K. Pandey , Gareth T. Munger
发明人: Michael Eng , Raju R. Viswanathan , Peter R. Werp , Ilker Tunay , Ashwini K. Pandey , Gareth T. Munger
CPC分类号: A61B5/0422 , A61B1/00158 , A61B5/062 , A61B18/1492 , A61B34/20 , A61B34/70 , A61B34/73 , A61B2017/00053 , A61B2018/00839 , A61B2034/2051
摘要: An electrophysiology catheter includes a tube having a proximal end, a distal end, and a lumen therebetween. The tube is preferably comprised of multiple sections of different flexibility, arranged so that the flexibility of the catheter increases from the proximal end to the distal end. There is a first generally hollow electrode member at the distal end. At least one magnetically responsive element is disposed at least partially in the hollow electrode, for orienting the distal end of the catheter with an externally applied magnetic field. Multiple magnets can be distributed over the distal portion of the device. The end electrode can have openings for delivering irrigating fluid, and/or a sleeve can be provided around the tube to create an annular space for the delivering of irrigating fluid. A temperature sensor can be provided to control the operation of the catheter. A localization coil can also be included to sense the position and orientation of the catheter.
摘要翻译: 电生理导管包括具有近端,远端和其间的内腔的管。 管优选地由具有不同柔性的多个部分组成,其布置成使得导管的柔性从近端增加到远端。 在远端处有第一大致中空的电极部件。 至少一个磁响应元件至少部分地设置在中空电极中,用于用外部施加的磁场定向导管的远端。 多个磁体可以分布在装置的远端部分上。 端电极可以具有用于输送冲洗流体的开口,和/或可以在管周围设置套筒,以产生用于输送冲洗流体的环形空间。 可以提供温度传感器来控制导管的操作。 还可以包括定位线圈以感测导管的位置和取向。
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公开(公告)号:US07346379B2
公开(公告)日:2008-03-18
申请号:US11319039
申请日:2005-12-27
申请人: Michael J. Eng , Raju R. Viswanathan , Peter R. Werp , Ilker Tunay , Ashwini K. Pandey , Gareth T. Munger
发明人: Michael J. Eng , Raju R. Viswanathan , Peter R. Werp , Ilker Tunay , Ashwini K. Pandey , Gareth T. Munger
CPC分类号: A61B5/0422 , A61B1/00158 , A61B5/062 , A61B18/1492 , A61B34/20 , A61B34/70 , A61B34/73 , A61B2017/00053 , A61B2018/00839 , A61B2034/2051
摘要: An electrophysiology catheter includes a tube having a proximal end, a distal end, and a lumen therebetween. The tube is preferably comprised of multiple sections of different flexibility, arranged so that the flexibility of the catheter increases from the proximal end to the distal end. There is a first generally hollow electrode member at the distal end. At least one magnetically responsive element is disposed at least partially in the hollow electrode, for orienting the distal end of the catheter with an externally applied magnetic field. Multiple magnets can be distributed over the distal portion of the device. The end electrode can have openings for delivering irrigating fluid, and/or a sleeve can be provided around the tube to create an annular space for the delivering of irrigating fluid. A temperature sensor can be provided to control the operation of the catheter. A localization coil can also be included to sense the position and orientation of the catheter.
摘要翻译: 电生理导管包括具有近端,远端和其间的内腔的管。 管优选地由具有不同柔性的多个部分组成,其布置成使得导管的柔性从近端增加到远端。 在远端处有第一大致中空的电极部件。 至少一个磁响应元件至少部分地设置在中空电极中,用于用外部施加的磁场定向导管的远端。 多个磁体可以分布在装置的远端部分上。 端电极可以具有用于输送冲洗流体的开口,和/或可以在管周围设置套筒,以产生用于输送冲洗流体的环形空间。 可以提供温度传感器来控制导管的操作。 还可以包括定位线圈以感测导管的位置和取向。
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公开(公告)号:US20090138009A1
公开(公告)日:2009-05-28
申请号:US12265013
申请日:2008-11-05
IPC分类号: A61B18/14
CPC分类号: A61M25/09 , A61B18/1492 , A61B2018/00101 , A61B2034/2051 , A61M2025/09183
摘要: This invention describes an energy delivery apparatus for delivering electrical energy at a target location, said energy delivery apparatus being usable in combination with a magnetic field and comprising an electrical conductor having a substantially elongated configuration; an electrode for delivering electrical energy at the target location, with the electrode being electrically coupled to the electrical conductor and having an exposed surface with at least a portion of the exposed surface having one of its principal radii of curvature smaller than 0.35 mm; an insulating dielectric coating along a substantial portion of the length of the electrical conductor, with the dielectric coating having a dielectric constant smaller than about 3; at least one guiding element mounted to the electrical conductor, with at least one of the guiding elements including a magnetically responsive material. The magnetic field is used to move the guiding element in order to position the electrode substantially adjacent to the target location.
摘要翻译: 本发明描述了一种用于在目标位置传送电能的能量输送装置,所述能量输送装置可与磁场结合使用并且包括具有基本细长构型的电导体; 用于在目标位置处传送电能的电极,其中电极电耦合到电导体并且具有暴露表面,其中暴露表面的至少一部分具有小于0.35mm的其主曲率半径之一; 绝缘电介质涂层沿电导体的长度的大部分,电介质涂层的介电常数小于约3; 安装到电导体的至少一个引导元件,其中至少一个引导元件包括磁响应材料。 磁场用于移动引导元件,以使电极基本上邻近目标位置。
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公开(公告)号:US08231618B2
公开(公告)日:2012-07-31
申请号:US12265013
申请日:2008-11-05
IPC分类号: A61B18/14
CPC分类号: A61M25/09 , A61B18/1492 , A61B2018/00101 , A61B2034/2051 , A61M2025/09183
摘要: This invention describes an energy delivery apparatus for delivering electrical energy at a target location, said energy delivery apparatus being usable in combination with a magnetic field and comprising an electrical conductor having a substantially elongated configuration; an electrode for delivering electrical energy at the target location, with the electrode being electrically coupled to the electrical conductor and having an exposed surface with at least a portion of the exposed surface having one of its principal radii of curvature smaller than 0.35 mm; an insulating dielectric coating along a substantial portion of the length of the electrical conductor, with the dielectric coating having a dielectric constant smaller than about 3; at least one guiding element mounted to the electrical conductor, with at least one of the guiding elements including a magnetically responsive material. The magnetic field is used to move the guiding element in order to position the electrode substantially adjacent to the target location.
摘要翻译: 本发明描述了一种用于在目标位置传送电能的能量输送装置,所述能量输送装置可与磁场结合使用并且包括具有基本细长构型的电导体; 用于在目标位置处传送电能的电极,其中电极电耦合到电导体并且具有暴露表面,其中暴露表面的至少一部分具有小于0.35mm的其主曲率半径之一; 绝缘电介质涂层沿电导体的长度的大部分,电介质涂层的介电常数小于约3; 安装到电导体的至少一个引导元件,其中至少一个引导元件包括磁响应材料。 磁场用于移动引导元件,以使电极基本上邻近目标位置。
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公开(公告)号:US20090131927A1
公开(公告)日:2009-05-21
申请号:US12272185
申请日:2008-11-17
申请人: Nathan Kastelein , Ashwini K. Pandey , Yi-Ren Woo , Raju R. Viswanathan , Gareth T. Munger , Christopher D. Minar , Roger G. Riedel, JR.
发明人: Nathan Kastelein , Ashwini K. Pandey , Yi-Ren Woo , Raju R. Viswanathan , Gareth T. Munger , Christopher D. Minar , Roger G. Riedel, JR.
CPC分类号: A61B18/1492 , A61B2018/00083 , A61B2018/00702 , A61B2018/00779 , A61B2018/144 , A61B2218/002
摘要: Devices for the generation and detection of an ablative plasma discharge in a subject are presented. Methods of use, including navigation and operation of the devices to facilitate minimally invasive therapeutic procedures are disclosed.
摘要翻译: 提出了用于产生和检测受试者中烧蚀等离子体放电的装置。 公开了使用方法,包括用于促进微创治疗程序的装置的导航和操作。
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公开(公告)号:US20080287909A1
公开(公告)日:2008-11-20
申请号:US12121775
申请日:2008-05-15
CPC分类号: A61B17/3478 , A61B17/00234 , A61B34/73 , A61B34/76 , A61B2017/00243 , A61B2017/00247 , A61B2018/00392 , A61B2090/378
摘要: A method is disclosed that enables intra-chamber needle injection treatment using a navigable interventional device. The method includes navigation steps to systematically inject cells, drugs, or other agents in diagnostically identified target tissues, such as ischemic heart wall tissues. Magnetic navigation of a specifically designed needle catheter permits safe access to remote structures of the heart and depth-adaptable needle injections.
摘要翻译: 公开了一种使用可导航介入装置实现腔内针注射治疗的方法。 该方法包括在诊断识别的靶组织例如缺血性心脏壁组织中系统地注入细胞,药物或其它试剂的导航步骤。 专门设计的针导管的磁性导航允许安全地进入心脏的远端结构和深度适应性针注射。
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公开(公告)号:US20090082722A1
公开(公告)日:2009-03-26
申请号:US12196214
申请日:2008-08-21
申请人: Gareth T. Munger , Janet Adair , Ashwini K. Pandey , John B. Kinder, JR. , John C. Knudson , Christopher D. Minar , Roger G. Riedel, JR. , Steven E. Scott , Scott Klimek , Alan D. Eskuri , Amy R. Raatikka , Pete Skujins , Stephen W. Pryor
发明人: Gareth T. Munger , Janet Adair , Ashwini K. Pandey , John B. Kinder, JR. , John C. Knudson , Christopher D. Minar , Roger G. Riedel, JR. , Steven E. Scott , Scott Klimek , Alan D. Eskuri , Amy R. Raatikka , Pete Skujins , Stephen W. Pryor
IPC分类号: A61M25/092
CPC分类号: A61M25/0113 , A61B5/06 , A61B5/064 , A61B6/12 , A61B34/30 , A61B2034/301 , A61M25/09041 , A61M2025/0008
摘要: Various systems for advancing medical devices within a subject's body are provided that configured to engage the outer surface of the medical device at a number of points about the circumference of the medical device, to thereby grip the medical device for enabling advancement of the device. The advancing systems include engaging portions configured to engage the outer surface of a medical device at a number of points about the circumference of the medical device. The engaging portions preferably engage opposing sides of the medical device's outer surface over a predetermined longitudinal length, to clamp against a longitudinal portion of the medical device that provides improved surface contact with the medical device over conventional roller guides. Various methods for performing medical procedures utilizing various medical devices and advancer systems are also provided.
摘要翻译: 提供用于推进被检体内的医疗装置的各种系统,其构造为在医疗装置的周围的多个点处接合医疗装置的外表面,从而夹持医疗装置以使装置能够前进。 前进系统包括被配置为在医疗装置的圆周周围的多个点处接合医疗装置的外表面的接合部分。 接合部优选地将预定的纵向长度的医疗装置的外表面的相对侧接合,以抵靠医疗装置的纵向部分,以与传统的滚子引导件相比提供与医疗装置的改进的表面接触。 还提供了使用各种医疗装置和推进器系统执行医疗程序的各种方法。
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公开(公告)号:US20120303050A1
公开(公告)日:2012-11-29
申请号:US13437142
申请日:2012-04-02
申请人: Ashwini K. Pandey
发明人: Ashwini K. Pandey
IPC分类号: A61B17/34
CPC分类号: A61B17/34 , A61B1/313 , A61B17/00234 , A61B90/50 , A61B2017/00283 , A61B2017/2927 , A61B2017/3492
摘要: A surgical support apparatus is disclosed, including an elongate member, a first tissue penetrating member, and a second tissue penetrating member. The second tissue penetrating member includes two segments hingably attached to each other. A distal portion of the second segment of the second tissue penetrating member includes an engagement surface. The first tissue penetrating member has a distal portion including a receiving surface. The engagement surface radially approaches the receiving surface causing the secure engagement of the first and second tissue penetrating members. Surgical objects can be attached to the surgical support apparatus and supported within an internal body cavity. Also disclosed is a method of assembling the surgical support apparatus in an internal body cavity.
摘要翻译: 公开了一种外科支撑装置,包括细长构件,第一组织穿透构件和第二组织穿透构件。 第二组织穿透构件包括彼此铰接地连接的两个部分。 第二组织穿透构件的第二段的远侧部分包括接合表面。 第一组织穿透构件具有包括接收表面的远侧部分。 接合表面径向地接近接收表面,导致第一和第二组织穿透构件的牢固接合。 手术物体可以附接到手术支撑装置并且支撑在内部体腔内。 还公开了将外科支撑装置组装在内部体腔中的方法。
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公开(公告)号:US09814369B2
公开(公告)日:2017-11-14
申请号:US13437222
申请日:2012-04-02
申请人: Ashwini K. Pandey
发明人: Ashwini K. Pandey
CPC分类号: A61B1/00177 , A61B1/00045 , A61B1/00193 , A61B1/313 , A61B17/3417 , A61B90/361 , A61B90/50 , A61B2017/00734 , A61B2090/502
摘要: A surgical camera assembly includes a proximal member defining a longitudinal axis and a distal member defining a pointed tip configured to puncture tissue to permit insertion of the surgical camera assembly therethrough. The distal member is pivotably coupled to the proximal member and is movable relative thereto between a first position, wherein the distal member is aligned with the longitudinal axis, and a second position, wherein the distal member is angled off the longitudinal axis. First and second surgical cameras are disposed within the distal member in fixed position and longitudinally-spaced relative to one another. Each of the cameras is oriented to define a viewing area in a direction extending from an outer lateral periphery of the distal member. The cameras are configured to produce video images that are used in conjunction with one another to provide a three-dimensional video image of the internal surgical site.
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公开(公告)号:US08845657B2
公开(公告)日:2014-09-30
申请号:US13437142
申请日:2012-04-02
申请人: Ashwini K. Pandey
发明人: Ashwini K. Pandey
CPC分类号: A61B17/34 , A61B1/313 , A61B17/00234 , A61B90/50 , A61B2017/00283 , A61B2017/2927 , A61B2017/3492
摘要: A surgical support apparatus is disclosed, including an elongate member, a first tissue penetrating member, and a second tissue penetrating member. The second tissue penetrating member includes two segments hingably attached to each other. A distal portion of the second segment of the second tissue penetrating member includes an engagement surface. The first tissue penetrating member has a distal portion including a receiving surface. The engagement surface radially approaches the receiving surface causing the secure engagement of the first and second tissue penetrating members. Surgical objects can be attached to the surgical support apparatus and supported within an internal body cavity. Also disclosed is a method of assembling the surgical support apparatus in an internal body cavity.
摘要翻译: 公开了一种外科支撑装置,包括细长构件,第一组织穿透构件和第二组织穿透构件。 第二组织穿透构件包括彼此铰接地连接的两个部分。 第二组织穿透构件的第二段的远侧部分包括接合表面。 第一组织穿透构件具有包括接收表面的远侧部分。 接合表面径向地接近接收表面,导致第一和第二组织穿透构件的牢固接合。 手术物体可以附接到手术支撑装置并且支撑在内部体腔内。 还公开了将外科支撑装置组装在内部体腔中的方法。
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