公开(公告)号：US07758580B2

公开(公告)日：2010-07-20

申请号：US11143400

申请日：2005-06-02

申请人： Paul T. Rothstein ,  Roderick E. Briscoe ,  David E. Francischelli ,  David J. S. Kim ,  Alison Lutterman

发明人： Paul T. Rothstein ,  Roderick E. Briscoe ,  David E. Francischelli ,  David J. S. Kim ,  Alison Lutterman

IPC分类号： A61B18/12

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。

公开(公告)号：US07083620B2

公开(公告)日：2006-08-01

申请号：US10621893

申请日：2003-07-17

申请人： Scott E. Jahns ,  David E. Francischelli ,  Alison A. Lutterman ,  James R. Keogh ,  Roderick E. Briscoe ,  William G. O'Neill ,  Jack Goodman ,  Tom P. Daigle ,  Paul T. Rothstein ,  Adam A. Podbelski ,  Stephen J Roddy ,  David J. S. Kim ,  Mark R. Bilitz

发明人： Scott E. Jahns ,  David E. Francischelli ,  Alison A. Lutterman ,  James R. Keogh ,  Roderick E. Briscoe ,  William G. O'Neill ,  Jack Goodman ,  Tom P. Daigle ,  Paul T. Rothstein ,  Adam A. Podbelski ,  Stephen J Roddy ,  David J. S. Kim ,  Mark R. Bilitz

IPC分类号： A61B18/18 ,  A61B17/28

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.

公开(公告)号：US06758809B2

公开(公告)日：2004-07-06

申请号：US10164734

申请日：2002-06-06

申请人： Roderick E. Briscoe ,  David J. S. Kim

发明人： Roderick E. Briscoe ,  David J. S. Kim

IPC分类号： A61B1702

CPC分类号： A61B17/02 ,  A61B90/50 ,  A61B2017/00314 ,  A61B2017/0243 ,  A61B2017/2904 ,  A61B2017/2905 ,  A61B2017/308 ,  A61B2090/571

摘要： An improved stabilizer or retractor or other surgical tool having an elongated distal arm carrying a tissue-contacting mechanism at its distal end and a tensioning mechanism at its proximal end for locking functional components of the tool in a desired position or configuration. The tensioning mechanism is mounted to a turret or other structure attaching the distal arm to a base by means of a shorter, proximally extending flexible arm. The flexible proximal arm allows the tensioning mechanism to be moved relative to the base so that it can be placed more conveniently in the operative field.

摘要翻译： 一种改进的稳定器或牵开器或其它手术工具，其具有在其远端承载组织接触机构的细长远侧臂和其近端处的张紧机构，用于将所述工具的功能部件锁定在期望的位置或构型。 张紧机构安装到转台或其他结构，通过较短的向近端延伸的柔性臂将远端臂连接到基座。 柔性近侧臂允许张紧机构相对于基部移动，使得其可以更方便地放置在手术区域中。

公开(公告)号：US08449449B2

公开(公告)日：2013-05-28

申请号：US12330033

申请日：2008-12-08

申请人： Philip J. Haarstad ,  Christopher P. Olig ,  Paul T. Rothstein ,  Michael J. Hobday ,  William A. Steinberg ,  David J. S. Kim ,  Thomas P. Daigle ,  Ann M. Thomas ,  Brian J. Ross ,  Steven C. Christian ,  Robert H. Reetz ,  Douglas H. Gubbin

发明人： Philip J. Haarstad ,  Christopher P. Olig ,  Paul T. Rothstein ,  Michael J. Hobday ,  William A. Steinberg ,  David J. S. Kim ,  Thomas P. Daigle ,  Ann M. Thomas ,  Brian J. Ross ,  Steven C. Christian ,  Robert H. Reetz ,  Douglas H. Gubbin

IPC分类号： A61F2/00

CPC分类号： A61M1/008 ,  A61B17/00234 ,  A61B17/0206 ,  A61B17/0218 ,  A61B17/8866 ,  A61B90/50 ,  A61B2017/00243 ,  A61B2017/0243 ,  A61B2017/306 ,  A61B2017/308

摘要： Suction-assisted tissue-engaging devices, systems, and methods are disclosed that can be employed through minimal surgical incisions to engage tissue during a medical procedure through application of suction to the tissue through a suction member applied to the tissue. A shaft is introduced into a body cavity through a first incision, and a suction head is attached to the shaft via a second incision. The suction head is applied against the tissue by manipulation of the shaft and suction is applied to engage the tissue while the medical procedure is performed through the second incision. A system coupled to the shaft and a fixed reference point stabilizes the shaft and suction head. When the medical procedure is completed, suction is discontinued, the suction head is detached from the shaft and withdrawn from the body cavity through the second incision, and the shaft is retracted through the first incision.

公开(公告)号：US07494460B2

公开(公告)日：2009-02-24

申请号：US10675815

申请日：2003-09-30

申请人： Philip J. Haarstad ,  Christopher P. Olig ,  Paul T. Rothstein ,  Michael J. Hobday ,  William J. Steinberg ,  David J. S. Kim ,  Thomas P. Daigle ,  Ann M. Thomas ,  Brian J. Ross ,  Steven C. Christian ,  Robert H. Reetz ,  Douglas H. Gubbin

发明人： Philip J. Haarstad ,  Christopher P. Olig ,  Paul T. Rothstein ,  Michael J. Hobday ,  William J. Steinberg ,  David J. S. Kim ,  Thomas P. Daigle ,  Ann M. Thomas ,  Brian J. Ross ,  Steven C. Christian ,  Robert H. Reetz ,  Douglas H. Gubbin

IPC分类号： A61F2/00

CPC分类号： A61M1/008 ,  A61B17/00234 ,  A61B17/0206 ,  A61B17/0218 ,  A61B17/8866 ,  A61B90/50 ,  A61B2017/00243 ,  A61B2017/0243 ,  A61B2017/306 ,  A61B2017/308

摘要： Suction-assisted tissue-engaging devices, systems, and methods are disclosed that can be employed through minimal surgical incisions to engage tissue during a medical procedure through application of suction to the tissue through a suction member applied to the tissue. A shaft is introduced into a body cavity through a first incision, and a suction head is attached to the shaft via a second incision. The suction head is applied against the tissue by manipulation of the shaft and suction is applied to engage the tissue while the medical procedure is performed through the second incision. A system coupled to the shaft and a fixed reference point stabilizes the shaft and suction head. When the medical procedure is completed, suction is discontinued, the suction head is detached from the shaft and withdrawn from the body cavity through the second incision, and the shaft is retracted through the first incision.

摘要翻译： 公开了吸入辅助的组织接合装置，系统和方法，其可以通过最小的手术切口使用，以在医疗过程中通过通过施加到组织的抽吸构件向组织施加抽吸来接合组织。 通过第一切口将轴引入体腔，并且通过第二切口将吸头附接到轴。 通过操纵轴将吸头施加到组织上，并且在通过第二切口执行医疗程序时施加抽吸以接合组织。 耦合到轴和固定参考点的系统稳定轴和抽吸头。 当医疗程序完成时，停止抽吸，抽吸头从轴上分离并通过第二切口从体腔排出，并且轴通过第一切口缩回。

公开(公告)号：US07338434B1

公开(公告)日：2008-03-04

申请号：US10643299

申请日：2003-08-19

申请人： Philip J. Haarstad ,  Christopher P. Olig ,  Paul T. Rothstein ,  Michael J. Hobday ,  David J. S. Kim ,  James R. Keogh

发明人： Philip J. Haarstad ,  Christopher P. Olig ,  Paul T. Rothstein ,  Michael J. Hobday ,  David J. S. Kim ,  James R. Keogh

IPC分类号： A61F2/00

CPC分类号： A61B17/0206 ,  A61B17/00234 ,  A61B17/8866 ,  A61B90/50 ,  A61B2017/00243 ,  A61B2017/0243 ,  A61B2017/306 ,  A61B2017/308

摘要： This invention provides a heart positioning device, method and system for positioning, manipulating, holding, grasping, immobilizing and/or stabilizing a heart. The heart positioning device may include a suction head and a shaft with a means for remotely changing the position of the head from a first position axially aligned with the shaft to a second, unaligned position and a sleeve slideably positioned on the shaft and sized to receive the suction head in a compressed condition.

摘要翻译： 本发明提供了一种用于定位，操纵，保持，抓住，固定和/或稳定心脏的心脏定位装置，方法和系统。 心脏定位装置可以包括抽吸头和轴，其具有用于远程地将头部的位置从与轴轴向对准的第一位置延伸到第二未对准位置的装置和可滑动地定位在轴上的套筒， 吸头处于压缩状态。

公开(公告)号：US06866628B2

公开(公告)日：2005-03-15

申请号：US10122971

申请日：2002-04-11

申请人： Jack Goodman ,  Tom Daigle ,  Douglas H. Gubbin ,  David J. S. Kim

发明人： Jack Goodman ,  Tom Daigle ,  Douglas H. Gubbin ,  David J. S. Kim

IPC分类号： A61B17/02 ,  A61B17/28 ,  A61B17/30 ,  A61B1/00

CPC分类号： A61B17/02 ,  A61B2017/00314 ,  A61B2017/2905 ,  A61B2017/306

摘要： An improved tissue engagement device such as a suction stabilizer or retractor. The stabilizer or retractor is provided with one or more suction pods mounted to the distal end of a flexible arm. The flexible arm is coupled to a base assembly, which attaches the arm to an associated retractor or other structure that is fixedly located relative to the operative site. The base assembly includes a fixed portion, which is coupled to the retractor or other fixed mounting point and a rotatable turret, allowing rotation of the arm relative to the fixed portion of the base assembly. A tensioning mechanism mounted to the turret applies tension to compress the turret around a corresponding pivot mounted to the fixed portion of the base to rotationally lock the turret and to lock the arm in its current configuration.

摘要翻译： 改进的组织接合装置，例如吸力稳定器或牵开器。 稳定器或牵开器设置有一个或多个安装到柔性臂的远端的抽吸舱。 柔性臂联接到基部组件，其将臂附接到相对于牵开器或相对于手术部位固定定位的其他结构。 基座组件包括固定部分，该固定部分联接到牵开器或其他固定安装点以及可转动的转台，允许臂相对于基座组件的固定部分旋转。 安装到转台上的张紧机构施加张力以围绕安装到基座的固定部分的相应枢轴压缩转台，以旋转地锁定转台并将臂锁定在其当前配置中。

公开(公告)号：US07399272B2

公开(公告)日：2008-07-15

申请号：US10807888

申请日：2004-03-24

申请人： David J. S. Kim ,  Eric J. Boone

发明人： David J. S. Kim ,  Eric J. Boone

IPC分类号： A61F13/00 ,  A61B1/32

CPC分类号： A61B17/02 ,  A61B17/0206 ,  A61B2017/0243 ,  A61B2017/306 ,  A61B2017/308

摘要： A device for providing suction to tissue is disclosed. A method of suctioning tissue is also disclosed.

摘要翻译： 公开了一种用于向组织提供抽吸的装置。 还公开了一种抽吸组织的方法。

公开(公告)号：US07311664B2

公开(公告)日：2007-12-25

申请号：US11003100

申请日：2004-12-03

申请人： Jack Goodman ,  Tom Daigle ,  Douglas H. Gubbin ,  David J. S. Kim

发明人： Jack Goodman ,  Tom Daigle ,  Douglas H. Gubbin ,  David J. S. Kim

IPC分类号： A61B1/32

CPC分类号： A61B17/02 ,  A61B2017/00314 ,  A61B2017/2905 ,  A61B2017/306

摘要： An improved tissue engagement device such as a suction stabilizer or retractor. The stabilizer or retractor is provided with one or more suction pods mounted to the distal end of a flexible arm. The flexible arm is coupled to a base assembly, which attaches the arm to an associated retractor or other structure that is fixedly located relative to the operative site. The base assembly includes a fixed portion, which is coupled to the retractor or other fixed mounting point and a rotatable turret, allowing rotation of the arm relative to the fixed portion of the base assembly. A tensioning mechanism mounted to the turret applies tension to compress the turret around a corresponding pivot mounted to the fixed portion of the base to rotationally lock the turret and to lock the arm in its current configuration. If the device is a suction stabilizer, it may carry a spreading/tightening mechanism along with two suction pods and the tensioning mechanism may lock the relative location of the spreading/tightening mechanism relative to the arm and operate to spread the suction pods apart from one another to provide for additional stabilization at the desired anastomosis site. If the device is a suction retractor, the tensioning mechanism may lock a pivotably mounted carrier for a single enlarged suction pod so that the suction pod is held in its desired orientation relative to the arm.

摘要翻译： 改进的组织接合装置，例如吸力稳定器或牵开器。 稳定器或牵开器设置有一个或多个安装到柔性臂的远端的抽吸舱。 柔性臂联接到基部组件，其将臂附接到相对于牵开器或相对于手术部位固定定位的其他结构。 基座组件包括固定部分，该固定部分联接到牵开器或其他固定安装点以及可转动的转台，允许臂相对于基座组件的固定部分旋转。 安装到转台上的张紧机构施加张力以围绕安装到基座的固定部分的相应枢轴压缩转台，以旋转地锁定转台并将臂锁定在其当前配置中。 如果设备是吸力稳定器，则它可以与两个吸力舱一起携带扩张/紧固机构，并且张紧机构可以相对于手臂锁定扩张/紧固机构的相对位置，并且操作以将抽吸荚与一个 另一个在所需的吻合部位提供额外的稳定。 如果装置是抽吸牵开器，则张紧机构可以锁定可枢转地安装的载体以用于单个扩大的吸入舱，使得吸入舱相对于臂保持在其期望的方向。