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    CARDIAC ABLATION SYSTEM WITH INFLATABLE MEMBER HAVING MULTIPLE INFLATION SETTINGS
    3.
    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。

    Methods of cardiac ablation employing a deflectable sheath catheter
    4.
    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。

    Cardiac ablation system with pulsed aiming light
    10.
    发明授权
    Cardiac ablation system with pulsed aiming light 有权
    具有脉冲瞄准光的心脏消融系统

    公开(公告)号：US08696653B2

    公开(公告)日：2014-04-15

    申请号：US12895969

    申请日：2010-10-01

    申请人： Gerald Melsky ,  Susan Ostrowski

    发明人： Gerald Melsky ,  Susan Ostrowski

    IPC分类号： A61B18/18 ,  A61B1/06

    CPC分类号： A61B18/24 ,  A61B90/361 ,  A61B2017/22051 ,  A61B2017/22059 ,  A61B2018/2025 ,  A61B2090/3618

    摘要： An apparatus and method for treating a cardiac condition with visual inspection of a tissue treatment site includes the step of delivering an expanding member formed on a distal end of a catheter to a position adjacent a tissue treatment area within a patient's heart. The expandable member has an elastic portion configured to conform to the tissue treatment area. The method further includes the steps of expanding the expandable member thereby allowing the elastic portion of the expandable member to conform to the tissue treatment area and positioning an energy emitter at a first location within an inner lumen of the catheter. A visible aiming beam is projected during positioning of the energy emitter and ablative energy is delivered from the energy emitter to the tissue treatment area thereby resulting in a first spot lesion. The ablative energy is coincident with the aiming beam and the aiming beam is in the form of pulsed visible light to allow intermittent visual inspection of the first spot lesion at times when the aiming beam is not projected onto the tissue treatment area, thereby allowing visual inspection of the ablative characteristics and sufficiency of the first spot lesion.

    摘要翻译： 用于通过目视检查组织治疗部位来治疗心脏病状的装置和方法包括将形成在导管的远端上的扩张构件递送到患者心脏内的组织治疗区域附近的位置的步骤。 可扩张构件具有构造成符合组织处理区域的弹性部分。 该方法还包括以下步骤：使可膨胀构件膨胀，从而允许可膨胀构件的弹性部分与组织处理区域一致，并将能量发射器定位在导管的内腔内的第一位置处。 在能量发射器的定位期间投射可见的瞄准光束，并且消融能量从能量发射器传送到组织处理区域，从而导致第一斑点损伤。 烧焦能量与瞄准光束重合，瞄准光束呈脉冲可见光的形式，以允许在瞄准光束未投射到组织治疗区域时对第一斑点病变进行间歇视觉检查，从而允许视觉检查 的烧蚀特征和充足的第一斑点病变。