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公开(公告)号:US20060036236A1
公开(公告)日:2006-02-16
申请号:US11143400
申请日:2005-06-02
IPC分类号: A61B18/14
CPC分类号: A61B18/1442 , A61B2018/00363 , A61B2018/00375 , A61B2018/00577
摘要: Method and apparatus for ablating target tissue adjacent pulmonary veins of a patient. The ablation device can include a lower jaw assembly including a proximal jaw having a proximal electrode and a distal jaw having a distal electrode, and an upper jaw assembly including an upper jaw having an upper electrode. A proximal actuator can be movable between a first position in which the proximal jaw is open and a second position in which the proximal jaw is clamped with respect to the upper jaw. A distal actuator can be movable between a third position in which the distal jaw is open and a fourth position in which the distal jaw is clamped with respect to the upper jaw.
摘要翻译: 用于消融患者的肺静脉附近的靶组织的方法和装置。 消融装置可以包括下钳口组件,其包括具有近端电极的近端钳口和具有远端电极的远端钳口,以及包括具有上电极的上钳口的上钳口组件。 近侧致动器可以在其中近端颚打开的第一位置和相对于上颚夹紧近端颌的第二位置之间移动。 远端致动器可以在其中远侧钳口打开的第三位置和第二位置之间移动,在第四位置,远端钳口相对于上钳夹紧。
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公开(公告)号:US20060195083A1
公开(公告)日:2006-08-31
申请号:US11411316
申请日:2006-04-26
申请人: Scott Jahns , David Francischelli , Alison Lutterman , James Keogh , Roderick Briscoe , William O'Neill , Jack Goodman , Tom Daigle , Paul Rothstein , Adam Podbelski , Stephen Roddy , David Kim , Mark Bilitz
发明人: Scott Jahns , David Francischelli , Alison Lutterman , James Keogh , Roderick Briscoe , William O'Neill , Jack Goodman , Tom Daigle , Paul Rothstein , Adam Podbelski , Stephen Roddy , David Kim , Mark Bilitz
IPC分类号: A61B18/14
CPC分类号: A61B18/1445 , A61B2018/1861
摘要: A hemostat-type device for ablative treatment of tissue, particularly for treatment of atrial fibrillation, is constructed with features that provide easy and effective treatment. A swiveling head assembly can allow the jaws to be adjusted in pitch and roll. Malleable jaws can permit curved lesion shapes. A locking detent can secure the jaws in a closed position during the procedure. An illuminated indicator provides confirmation that the device is operating. A fluid delivery system simplifies irrigated ablation procedures.
摘要翻译: 用于消融治疗组织的止血剂型装置,特别是用于治疗心房纤维性颤动的装置,其构造具有提供容易和有效治疗的特征。 旋转头组件可以允许钳口在俯仰和滚动中进行调节。 韧性的钳口可以允许弯曲的损伤形状。 在操作过程中,锁定爪可以将夹爪固定在关闭位置。 照明指示灯提供设备运行的确认。 流体输送系统简化了灌溉消融程序。
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公开(公告)号:US20060020271A1
公开(公告)日:2006-01-26
申请号:US11155699
申请日:2005-06-17
申请人: Mark Stewart , Alison Lutterman , David Francischelli , Leonard Leuer , Daniel Haeg , Marie Steinbrink , Roderick Briscoe , Tom Daigle , Eduardo Warman , Paul Rothstein , Phillip Falkner , Douglas Hettrick , David Kim , Steven Christian
发明人: Mark Stewart , Alison Lutterman , David Francischelli , Leonard Leuer , Daniel Haeg , Marie Steinbrink , Roderick Briscoe , Tom Daigle , Eduardo Warman , Paul Rothstein , Phillip Falkner , Douglas Hettrick , David Kim , Steven Christian
IPC分类号: A61B17/10
CPC分类号: A61B17/0057 , A61B17/12013 , A61B17/122 , A61B17/1285 , A61B90/39 , A61B2017/00243 , A61B2017/00575 , A61B2017/12018 , A61B2017/306
摘要: Some embodiments of the invention provide a system for occluding a left atrial appendage of a patient. Some embodiments of the system can include a ring occluder that can be positioned around the left atrial appendage and a ring applicator to position the ring occluder with respect to the left atrial appendage. One embodiment discloses a method of accessing endocardial surfaces of the heart through the atrial appendage. Additional embodiments of the invention provide a clip occluder that can be positioned around the left atrial appendage. A clip applicator can position the clip occluder with respect to the left atrial appendage.
摘要翻译: 本发明的一些实施例提供一种用于闭塞患者左心耳的系统。 该系统的一些实施例可以包括可以围绕左心耳定位的环封闭器和环施加器来相对于左心耳定位环封闭器。 一个实施例公开了通过心房接近心脏心脏表面的方法。 本发明的另外的实施例提供了可以围绕左心耳定位的夹子封堵器。 夹子施放器可以相对于左心耳定位夹子封堵器。
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公开(公告)号:US20060041254A1
公开(公告)日:2006-02-23
申请号:US11040663
申请日:2005-01-21
申请人: David Francischelli , Roderick Briscoe , Paul Rothstein , David Jin Kim , James Keogh , Tom Daigle , Adam Podbellski , Stephen Roddy , Steve Christian , Brian Ross , James Skarda , Scott Jahns , Alison Lutterman
发明人: David Francischelli , Roderick Briscoe , Paul Rothstein , David Jin Kim , James Keogh , Tom Daigle , Adam Podbellski , Stephen Roddy , Steve Christian , Brian Ross , James Skarda , Scott Jahns , Alison Lutterman
IPC分类号: A61B18/14
CPC分类号: A61B18/1445 , A61B2018/1861
摘要: A hemostat-type device for ablative treatment of tissue, particularly for treatment of atrial fibrillation, is constructed with features that provide easy and effective treatment. The device may include a swiveling head assembly that allows the jaws to be adjusted in pitch and/or roll. The device may include a malleable or articulating handle shaft, as well as, malleable or curved rigid jaws that can permit curved lesion shapes. A locking detent can secure the jaws in a closed position during the procedure. The device may include one or more remote actuators making the hemostat-type device useful for minimally invasive procedures.
摘要翻译: 用于消融治疗组织的止血剂型装置,特别是用于治疗心房纤维性颤动的装置,其构造具有提供容易和有效治疗的特征。 该装置可以包括旋转头组件,其允许在间距和/或辊中调整夹爪。 该装置可以包括可延展的或铰接的手柄轴,以及可以允许弯曲的损伤形状的可延展或弯曲的刚性钳口。 在操作过程中,锁定爪可以将夹爪固定在关闭位置。 该装置可以包括一个或多个远程致动器,其使止血器装置用于微创程序。
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公开(公告)号:US20060020263A1
公开(公告)日:2006-01-26
申请号:US11143399
申请日:2005-06-02
申请人: Paul Rothstein , David Francischelli , Terri Cormack , Tom Daigle , Alison Lutterman , Roderick Briscoe , Steven Christian
发明人: Paul Rothstein , David Francischelli , Terri Cormack , Tom Daigle , Alison Lutterman , Roderick Briscoe , Steven Christian
IPC分类号: A61B18/14
CPC分类号: A61B18/1442 , A61B2017/2945 , A61B2018/00065 , A61B2018/00363 , A61B2018/00375 , A61B2018/00577 , A61B2018/1432
摘要: Method and apparatus for ablating target tissue adjacent pulmonary veins of a patient. A clamping ablation tool can include an upper arm having an upper neck, a link assembly, and an upper actuator. The link assembly can include a distal electrode and a proximal electrode. The clamping ablation tool can include a lower arm that mates with the upper arm. The lower arm can include a lower neck, a distal jaw, and a lower actuator. The distal jaw can include a jaw electrode, and the lower actuator can control movement of the distal jaw.
摘要翻译: 用于消融患者的肺静脉附近的靶组织的方法和装置。 夹持消融工具可以包括具有上颈部的上臂,连杆组件和上致动器。 连杆组件可以包括远端电极和近端电极。 夹持消融工具可以包括与上臂配合的下臂。 下臂可以包括下颈部,远端钳口和下部致动器。 远端钳口可以包括钳口电极,下部致动器可以控制远端钳口的运动。
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公开(公告)号:US20080033457A1
公开(公告)日:2008-02-07
申请号:US11788261
申请日:2007-04-19
申请人: David Francischelli , Roderick Briscoe , Leonard Leuer , Daniel Haeg , Tom Daigle , David Kim , Mark Stewart , Andrew Olson , Patrick Cloutier , Christopher Smith , Michael Hobday , Tessy Kanayinkal , Douglas Gubbin , Paul Rothstein , Joseph Cardinal , Jessica Foley , Christopher Plott
发明人: David Francischelli , Roderick Briscoe , Leonard Leuer , Daniel Haeg , Tom Daigle , David Kim , Mark Stewart , Andrew Olson , Patrick Cloutier , Christopher Smith , Michael Hobday , Tessy Kanayinkal , Douglas Gubbin , Paul Rothstein , Joseph Cardinal , Jessica Foley , Christopher Plott
IPC分类号: A61B17/122
CPC分类号: A61B17/12 , A61B17/0057 , A61B17/12009 , A61B17/12013 , A61B17/122 , A61B17/128 , A61B17/1285 , A61B90/39 , A61B2017/00243 , A61B2017/00575 , A61B2017/12018 , A61B2017/306
摘要: Some embodiments of the invention provide a system for occluding a left atrial appendage of a patient. Some embodiments of the system can include a ring occluder that can be positioned around the left atrial appendage and a ring applicator to position the ring occluder with respect to the left atrial appendage. One embodiment discloses a method of accessing endocardial surfaces of the heart through the atrial appendage. Additional embodiments of the invention provide a clip occluder that can be positioned around the left atrial appendage. A clip applicator can position the clip occluder with respect to the left atrial appendage.
摘要翻译: 本发明的一些实施例提供一种用于闭塞患者左心耳的系统。 该系统的一些实施例可以包括可以围绕左心耳定位的环封闭器和环施加器来相对于左心耳定位环封闭器。 一个实施例公开了通过心房接近心脏心脏表面的方法。 本发明的另外的实施例提供了可以围绕左心耳定位的夹子封堵器。 夹子施放器可以相对于左心耳定位夹子封堵器。
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公开(公告)号:US20070043397A1
公开(公告)日:2007-02-22
申请号:US11586112
申请日:2006-10-25
申请人: Jon Ocel , Roderick Briscoe , David Francischelli , Scott Jahns , James Keogh , Katherine Jolly , Matthew Bonner
发明人: Jon Ocel , Roderick Briscoe , David Francischelli , Scott Jahns , James Keogh , Katherine Jolly , Matthew Bonner
IPC分类号: A61N1/362
CPC分类号: A61B5/042 , A61B5/7475 , A61B18/14 , A61B2017/2927 , A61B2018/1472 , A61N1/056
摘要: An instrument including an elongated shaft and a non-conductive handle is disclosed. The shaft defines a proximal section and a distal section. The distal section forms an electrically conductive tip. Further, the shaft is adapted to be transitionable from a straight state to a first bent state. The shaft is capable of independently maintaining the distinct shapes associated with the straight state and the first bent state. The handle is rigidly coupled to the proximal section of the shaft. The instrument is useful for epicardial pacing and/or mapping of the heart for temporary pacing on a beating heart, for optimizing the placement of ventricular leads for the treatment of patients with congestive heart failure and ventricular dysynchrony and/or for use in surgical ablation procedures.
摘要翻译: 公开了一种包括细长轴和非导电手柄的仪器。 轴限定近端部分和远端部分。 远侧部分形成导电尖端。 此外,轴适于从直状态转变到第一弯曲状态。 轴能够独立地保持与直线状态和第一弯曲状态相关联的不同形状。 手柄刚性地联接到轴的近端部分。 该仪器可用于心脏起搏和/或心脏在心脏跳动中临时起搏的作用,以优化用于治疗患有充血性心力衰竭和心室异常不适和/或用于外科手术切除手术的患者的心室导线的位置 。
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公开(公告)号:US20060009759A1
公开(公告)日:2006-01-12
申请号:US11143128
申请日:2005-06-02
申请人: Steven Chrisitian , David Francischelli , Adam Podbeliski , Daniel Haeg , Marie Steinbrink , Roderick Briscoe , Tom Daigle
发明人: Steven Chrisitian , David Francischelli , Adam Podbeliski , Daniel Haeg , Marie Steinbrink , Roderick Briscoe , Tom Daigle
IPC分类号: A61B18/14
CPC分类号: A61B18/1492 , A61B2018/00291 , A61B2018/00363 , A61B2018/00375 , A61B2018/00577 , A61B2018/1407 , A61B2018/1472
摘要: Embodiments of the invention provide an ablation apparatus for ablating target tissue adjacent pulmonary veins of a patient. The ablation apparatus can include a tube capable of being advanced around the pulmonary veins to form a loop. The tube can receive or include electrodes to ablate target tissue. Some embodiments provide a loop ablation device, which may include a cannula and two or more electrode rods carrying two or more bipolar electrodes. The electrode rods can be advanced through the distal ends toward the proximal ends of the loop and toward the target tissue. The bipolar electrodes can receive energy to ablate the target tissue. The bipolar electrodes may be surrounded by the liquid within the cannula while ablating the target tissue. The loop ablation device can further include a rotating grasping mechanism coupled to the electrode rods.
摘要翻译: 本发明的实施例提供了一种用于消融患者的肺静脉附近的靶组织的消融装置。 消融装置可以包括能够围绕肺静脉前进以形成环的管。 管可以接收或包括用于烧蚀靶组织的电极。 一些实施例提供一种环路消融装置,其可以包括套管和两个或更多个承载两个或更多个双极电极的电极棒。 电极棒可以通过远端朝向环的近端并朝向目标组织前进。 双极电极可以接收能量以消融靶组织。 当消融靶组织时,双极电极可被插管内的液体包围。 环切除装置还可包括与电极棒连接的旋转夹持机构。
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公开(公告)号:US07967816B2
公开(公告)日:2011-06-28
申请号:US10056807
申请日:2002-01-25
申请人: Jon Ocel , Roderick Briscoe , David Francischelli , Scott Jahns , James R. Keogh
发明人: Jon Ocel , Roderick Briscoe , David Francischelli , Scott Jahns , James R. Keogh
IPC分类号: A61B18/18
CPC分类号: A61B5/042 , A61B5/7475 , A61B18/14 , A61B2017/2927 , A61B2018/1472 , A61N1/056
摘要: An electrosurgical instrument including an elongated shaft and a non-conductive handle. The shaft defines a proximal section, a distal section, and an internal lumen extending from the proximal section. The distal section forms an electrically conductive tip and defines at least one passage for distributing fluid. Further, the shaft is adapted to be transitionable from a straight state to a first bent state. The shaft is capable of independently maintaining the distinct shapes associated with the straight state and the first bent state. The handle is rigidly coupled to the proximal section of the shaft. With this in mind, an exterior surface of the shaft distal the handle and proximal the distal section is electrically non-conductive. In one preferred embodiment, the shaft is comprised of an elongated electrode body surrounded by an electrical insulator.
摘要翻译: 一种电外科器械,包括细长轴和非导电手柄。 轴限定近端部分,远端部分和从近端部分延伸的内部内腔。 远侧部分形成导电尖端并且限定用于分配流体的至少一个通道。 此外,轴适于从直状态转变到第一弯曲状态。 轴能够独立地保持与直线状态和第一弯曲状态相关联的不同形状。 手柄刚性地联接到轴的近端部分。 考虑到这一点,远离手柄并且远离远端部分的轴的外表面是不导电的。 在一个优选实施例中,所述轴由被电绝缘体包围的细长电极体构成。
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公开(公告)号:US20110147550A1
公开(公告)日:2011-06-23
申请号:US12640963
申请日:2009-12-17
申请人: Mark Wendler , Al McLevish , Chris Plott , Joe Cardinal , Mike Hobday , Roderick Briscoe
发明人: Mark Wendler , Al McLevish , Chris Plott , Joe Cardinal , Mike Hobday , Roderick Briscoe
CPC分类号: A61M1/3621 , A61B90/57 , A61M1/16 , A61M1/1698 , A61M1/32 , A61M1/3632 , A61M1/3664 , A61M2209/082 , Y10T29/49826
摘要: A mounting system for mounting one or more components of an extracorporeal blood circuit to an upstanding mast provided with a pump cart. The system includes a clamp device, a primary arm, a seat, a post, and a locking mechanism. The clamp device is mountable to the mast and pivotably maintaining the primary arm. The seat defines a tapering intermediate section and is mounted to the primary arm. The post projects from the seat. Finally, the locking mechanism is configured to releasably secure an extracorporeal circuit component, otherwise located over the seat, to the primary arm. With this configuration, the extracorporeal circuit component can be selectively located and locked to the primary arm at a variety of different rotational orientations. The mounting system can further include an auxiliary arm defining a sleeve sized to be removably disposed over the seat.
摘要翻译: 一种用于将体外血液回路的一个或多个部件安装到具有泵车的直立杆的安装系统。 该系统包括夹紧装置,主臂,座椅,柱子和锁定机构。 夹紧装置可安装到桅杆上并可枢转地保持主臂。 座椅限定了锥形中间部分,并安装到主臂上。 岗位项目从座位。 最后,锁定机构构造成可释放地将体外电路部件(否则位于座椅上方)固定到主臂。 利用这种构造,可以以各种不同的旋转方向选择性地定位和锁定到主臂上的体外电路部件。 安装系统还可包括辅助臂,其限定尺寸设计成可拆卸地设置在座椅上的套筒。
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