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。

公开(公告)号：US20090299364A1

公开(公告)日：2009-12-03

申请号：US12427457

申请日：2009-04-21

申请人： Kester Batchelor ,  David Francischelli ,  Tom Daigle ,  Dan Haeg ,  Paul Rothstein ,  Adam Podbelski ,  Sarah Ahlberg ,  Steve Ramberg ,  Tom Conway

发明人： Kester Batchelor ,  David Francischelli ,  Tom Daigle ,  Dan Haeg ,  Paul Rothstein ,  Adam Podbelski ,  Sarah Ahlberg ,  Steve Ramberg ,  Tom Conway

IPC分类号： A61B18/14

CPC分类号： A61B18/1492 ,  A61B2018/00065 ,  A61B2018/00113 ,  A61B2018/00291 ,  A61B2018/00351 ,  A61B2018/00642 ,  A61B2018/00702 ,  A61B2018/00726 ,  A61B2018/00863 ,  A61B2018/1472 ,  A61B2090/064 ,  A61B2218/002 ,  A61B2218/007

摘要： An ablation device for ablating tissue having an outer wall and an inner wall, approximately parallel and concentric with said outer wall, defining an inner fluid chamber and an outer low pressure chamber. Each of the outer wall and the inner wall have an edge defining an open face of the fluid chamber and the low pressure chamber. An ablative element is contained within the fluid chamber. A source of low pressure is coupled to the low pressure chamber. When the edge of the outer wall and the edge of the inner wall contact a surface, the ablation device is at least partially secured to the surface by low pressure created in the low pressure chamber by the source of low pressure. The fluid chamber is at least partially fluidly isolated from the low pressure chamber when the ablation device is at least partially secured to the surface.

摘要翻译： 一种用于烧蚀组织的消融装置，其具有与所述外壁大致平行并同心的外壁和内壁，限定内部流体室和外部低压室。 外壁和内壁中的每一个具有限定流体室和低压室的敞开面的边缘。 消融元件包含在流体室内。 低压源连接到低压室。 当外壁的边缘和内壁的边缘接触表面时，消融装置通过由低压源产生的低压室中的低压至少部分地固定到表面。 当消融装置至少部分地固定到表面时，流体室至少部分地与低压室流体隔离。

公开(公告)号：US10098618B2

公开(公告)日：2018-10-16

申请号：US11698764

申请日：2007-01-26

申请人： Mark Thompson ,  Darrin Dickerson ,  Brett S. Bowman ,  Christopher F. Kelly ,  William W. Malecki ,  David Francischelli ,  Mark Stewart ,  Thomas Daigle ,  Douglas Gubbin ,  David Kim ,  Paul Rothstein ,  Adam Podbelski ,  Christopher Plott ,  Benjamin K. Yaffe

发明人： Mark Thompson ,  Darrin Dickerson ,  Brett S. Bowman ,  Christopher F. Kelly ,  William W. Malecki ,  David Francischelli ,  Mark Stewart ,  Thomas Daigle ,  Douglas Gubbin ,  David Kim ,  Paul Rothstein ,  Adam Podbelski ,  Christopher Plott ,  Benjamin K. Yaffe

IPC分类号： A61B18/18 ,  A61B17/00 ,  A61B1/005 ,  A61B90/30 ,  A61B17/02 ,  A61B18/14 ,  A61B17/32 ,  A61B90/00

摘要： A method of surgical dissection of tissue with a dissector comprising: an elongate shaft comprising a proximal portion and a distal portion, wherein the distal portion comprises a plurality of segments that articulate with respect to one another and the plurality of segments includes a distal segment having a distal end; and a handle attached to the proximal portion of the shaft, wherein the handle comprises controls for articulating the plurality of segments of the distal portion of the shaft with respect to one another, comprising the steps of: positioning the distal end of the dissector in a body; advancing the distal end through the body to dissect tissue; and simultaneously articulating the plurality of segments with respect to one another. A method of surgical dissection of tissue and guiding a second device to a desired physiological location with a first device.

公开(公告)号：US20070219550A1

公开(公告)日：2007-09-20

申请号：US11698807

申请日：2007-01-26

申请人： Mark Thompson ,  Darrin Dickerson ,  Brett Bowman ,  Christopher Kelly ,  William Malecki ,  David Francischelli ,  Mark Stewart ,  Thomas Daigle ,  Douglas Gubbin ,  David Kim ,  Paul Rothstein ,  Adam Podbelski ,  Christopher Plott ,  Benjamin Yaffe

发明人： Mark Thompson ,  Darrin Dickerson ,  Brett Bowman ,  Christopher Kelly ,  William Malecki ,  David Francischelli ,  Mark Stewart ,  Thomas Daigle ,  Douglas Gubbin ,  David Kim ,  Paul Rothstein ,  Adam Podbelski ,  Christopher Plott ,  Benjamin Yaffe

IPC分类号： A61B18/18

CPC分类号： A61B17/00234 ,  A61B1/0055 ,  A61B17/0218 ,  A61B18/1482 ,  A61B90/30 ,  A61B2017/003 ,  A61B2017/00367 ,  A61B2017/320044 ,  A61B2090/0811

摘要： A device for dissecting tissue and/or guidance of a second device to a desired physiological location, the device comprising: an elongate shaft comprising a proximal portion and a distal portion, wherein the distal portion comprises a plurality of segments that articulate with respect to one another; and a handle attached to the proximal portion of the shaft, wherein the handle comprises controls for articulating the plurality of segments of the distal portion of the shaft with respect to one another. A system for dissecting tissue and/or guiding a medical device to a desired physiological location.

摘要翻译： 一种用于将第二装置的组织和/或引导解剖到期望的生理位置的装置，所述装置包括：细长轴，其包括近端部分和远侧部分，其中所述远端部分包括多个相对于一个 另一个; 以及附接到所述轴的近侧部分的手柄，其中所述手柄包括用于相对于彼此铰接所述轴的远侧部分的所述多个段的控制。 一种用于将组织切割和/或将医疗装置引导到所需生理位置的系统。

公开(公告)号：US20070244473A1

公开(公告)日：2007-10-18

申请号：US11698764

申请日：2007-01-26

申请人： Mark Thompson ,  Darrin Dickerson ,  Brett Bowman ,  Christopher Kelly ,  William Malecki ,  David Francischelli ,  Mark Stewart ,  Thomas Daigle ,  Douglas Gubbin ,  David Kim ,  Paul Rothstein ,  Adam Podbelski ,  Christopher Plott ,  Benjamin Yaffe

发明人： Mark Thompson ,  Darrin Dickerson ,  Brett Bowman ,  Christopher Kelly ,  William Malecki ,  David Francischelli ,  Mark Stewart ,  Thomas Daigle ,  Douglas Gubbin ,  David Kim ,  Paul Rothstein ,  Adam Podbelski ,  Christopher Plott ,  Benjamin Yaffe

IPC分类号： A61B18/18

CPC分类号： A61B17/00234 ,  A61B1/0055 ,  A61B17/0218 ,  A61B18/1482 ,  A61B90/30 ,  A61B2017/003 ,  A61B2017/00367 ,  A61B2017/320044 ,  A61B2090/0811

摘要： A method of surgical dissection of tissue with a dissector comprising: an elongate shaft comprising a proximal portion and a distal portion, wherein the distal portion comprises a plurality of segments that articulate with respect to one another and the plurality of segments includes a distal segment having a distal end; and a handle attached to the proximal portion of the shaft, wherein the handle comprises controls for articulating the plurality of segments of the distal portion of the shaft with respect to one another, comprising the steps of: positioning the distal end of the dissector in a body; advancing the distal end through the body to dissect tissue; and simultaneously articulating the plurality of segments with respect to one another. A method of surgical dissection of tissue and guiding a second device to a desired physiological location with a first device.

摘要翻译： 一种用分离器手术解剖组织的方法，包括：细长轴，其包括近端部分和远侧部分，其中所述远端部分包括相对于彼此铰接的多个部分，并且所述多个部分包括远侧部分， 远端 以及附接到所述轴的所述近端部分的手柄，其中所述手柄包括用于将所述轴的远侧部分的所述多个段相对于彼此铰接的控制器，包括以下步骤：将所述解剖器的远端定位在 身体; 将远端推进穿过身体解剖组织; 并且同时相对于彼此铰接多个段。 一种手术切割组织并用第一装置将第二装置引导到所需生理位置的方法。

公开(公告)号：US20070203483A1

公开(公告)日：2007-08-30

申请号：US11698749

申请日：2007-01-26

申请人： David Kim ,  Thomas Daigle ,  Darrin Dickerson ,  James Skarda ,  Adam Podbelski ,  Mark Bilitz

发明人： David Kim ,  Thomas Daigle ,  Darrin Dickerson ,  James Skarda ,  Adam Podbelski ,  Mark Bilitz

IPC分类号： A61B18/14

CPC分类号： A61B18/1445 ,  A61B18/1492 ,  A61B2017/00243 ,  A61B2017/2945 ,  A61B2018/00363 ,  A61B2018/1432

摘要： A device for ablating tissue at a desired location in a body, the device comprising: a pair of jaws moveable between a spaced apart open position and a closed position, the pair of jaws comprising at least one ablating element for ablating tissue located between the jaws; a handle comprising controls for remotely controlling the movement of the jaws and the at least one ablative element, wherein the controls for the at least one ablative element comprise a trigger mechanism for applying ablative energy to the at least one ablating element; a neck connecting the jaws and handle; and a lockout mechanism for preventing the trigger mechanism from applying ablative energy when the jaws are in the open position.

摘要翻译： 一种用于在身体中的期望位置烧蚀组织的装置，所述装置包括：可在间隔开的打开位置和关闭位置之间移动的一对夹爪，所述一对钳口包括至少一个用于烧蚀位于夹爪之间的组织的切除元件 ; 手柄，其包括用于远程控制所述钳口和所述至少一个烧蚀元件的运动的控制器，其中所述至少一个烧蚀元件的控制包括用于向所述至少一个烧蚀元件施加烧蚀能量的触发机构; 连接钳口和手柄的颈部; 以及锁定机构，用于在夹爪处于打开位置时防止触发机构施加烧蚀能量。

公开(公告)号：US20070208336A1

公开(公告)日：2007-09-06

申请号：US11698801

申请日：2007-01-26

申请人： David Kim ,  Thomas Daigle ,  Darrin Dickerson ,  James Skarda ,  Adam Podbelski ,  Mark Bilitz

发明人： David Kim ,  Thomas Daigle ,  Darrin Dickerson ,  James Skarda ,  Adam Podbelski ,  Mark Bilitz

IPC分类号： A61B18/14

CPC分类号： A61B18/1445 ,  A61B18/1492 ,  A61B2017/00243 ,  A61B2017/2945 ,  A61B2018/00363 ,  A61B2018/1432

摘要： A device for ablating tissue at a desired location in a body, the device comprising: a pair of floating jaws moveable between a spaced apart open position and a closed position, the pair of jaws comprising at least one ablating element for ablating tissue located between the jaws; a handle comprising controls for remotely controlling the movement of the jaws and the at least one ablative element; and a flexible neck connecting the jaws and handle, wherein the neck is flexible so as to permit the jaws to be maneuverable in the body with respect to the handle. A system for guiding an ablation device to a desired location in a body.

摘要翻译： 一种用于在身体中的期望位置烧蚀组织的装置，所述装置包括：一对可在间隔开的打开位置和关闭位置之间移动的浮动钳口，所述一对钳口包括至少一个用于烧蚀组织的切除元件， 颚; 手柄，其包括用于远程控制所述夹爪和所述至少一个烧蚀元件的运动的控制器; 以及连接钳口和手柄的柔性颈部，其中颈部是柔性的，从而允许钳口相对于手柄在身体中可操纵。 一种用于将消融装置引导到身体中期望位置的系统。

公开(公告)号：US20070203484A1

公开(公告)日：2007-08-30

申请号：US11698756

申请日：2007-01-26

申请人： David Kim ,  Thomas Daigle ,  Darrin Dickerson ,  James Skarda ,  Adam Podbelski ,  Mark Bilitz

发明人： David Kim ,  Thomas Daigle ,  Darrin Dickerson ,  James Skarda ,  Adam Podbelski ,  Mark Bilitz

IPC分类号： A61B18/14

CPC分类号： A61B18/1445 ,  A61B18/1492 ,  A61B2017/00243 ,  A61B2017/2945 ,  A61B2018/00363 ,  A61B2018/1432

摘要： A method of using an ablation device to ablate tissue at a desired location, wherein the ablation device comprises: a pair of floating jaws moveable between a spaced apart open position and a closed position, the pair of jaws comprising at least one ablating element for ablating tissue located between the jaws; a handle comprising controls for remotely controlling the movement of the jaws and the at least one ablative element; and a flexible neck connecting the jaws and handle, wherein the neck is flexible so as to permit the jaws to be maneuverable in the body with respect to the handle; the method comprising the steps of: providing the ablation device; delivering the jaws to a desired location; positioning the jaws in the open position around tissue desired to be ablated; closing the jaws to the closed position on the tissue by using the controls on the handle portion of the ablation device; and activating the at least one ablating element by using the controls on the handle portion of the ablation device and ablating the tissue. A method of guiding an ablation device into a body wherein a guide member may be attached and reattached to the ablation device as needed. A method of ablating the pulmonary veins in a heart of a patient.

摘要翻译： 一种使用消融装置在期望位置烧蚀组织的方法，其中所述消融装置包括：一对可在间隔开的打开位置和闭合位置之间移动的浮动钳口，所述一对钳口包括至少一个用于烧蚀的烧蚀元件 位于钳口之间的组织; 手柄，其包括用于远程控制所述夹爪和所述至少一个烧蚀元件的运动的控制器; 以及连接钳口和手柄的柔性颈部，其中颈部是柔性的，以便允许钳口相对于把手在身体中可操纵; 该方法包括以下步骤：提供消融装置; 将钳口输送到所需位置; 将钳口定位在希望被烧蚀的组织周围的打开位置; 通过使用消融装置的把手部分上的控制将钳口关闭到组织上的关闭位置; 以及通过使用所述消融装置的手柄部分上的控制并消融所述组织来激活所述至少一个烧蚀元件。 将消融装置引导到体内的方法，其中可以根据需要将引导构件附接并重新附接到消融装置。 一种消除患者心脏中肺静脉的方法。

公开(公告)号：US20100252470A1

公开(公告)日：2010-10-07

申请号：US12418668

申请日：2009-04-06

申请人： Timothy Ryan ,  Don Tran ,  Jeffrey Allen ,  Melissa Denton ,  Adam Podbelski

发明人： Timothy Ryan ,  Don Tran ,  Jeffrey Allen ,  Melissa Denton ,  Adam Podbelski

IPC分类号： A61B19/02 ,  A61F2/24

CPC分类号： A61F2/0095 ,  A61F2/2412 ,  A61F2/2418 ,  A61F2/2436 ,  A61F2/958 ,  A61F2002/9505 ,  A61F2002/9522

摘要： A packaging system is disclosed for shipping a prosthetic tissue valve in a storage solution and preparing and loading of the bioprosthetic valve onto a catheter-based delivery system. The packaging system includes a fluid tight container filled with the storage solution attached to a delivery catheter, wherein the container surrounds the prosthetic tissue valve that is in a pre-loaded position on the delivery catheter during shipment and storage. The prosthetic tissue valve may include an attachment mechanism that attaches to the delivery catheter to properly position the tissue valve for loading within the delivery catheter. In another embodiment where the prosthetic tissue valve is not attached to the delivery catheter during shipment, the attachment mechanism may interact with the prosthetic tissue valve shipping container to prevent the bioprosthetic valve from moving during shipment.

摘要翻译： 公开了一种用于在存储溶液中运送假体组织瓣膜并且将生物假体瓣膜准备和装载到基于导管的输送系统上的包装系统。 包装系统包括填充有附着到输送导管的储存溶液的流体密封容器，其中容器围绕在装运和储存期间处于输送导管的预加载位置的假肢组织瓣膜。 假体组织瓣膜可以包括附接到输送导管以将组织瓣膜正确定位以装载在输送导管内的附接机构。 在假体组织瓣膜在运输期间未附着到输送导管的另一实施例中，附接机构可与假体组织瓣膜运输容器相互作用，以防止生物假体瓣膜在运输期间移动。

公开(公告)号：US09066785B2

公开(公告)日：2015-06-30

申请号：US12418684

申请日：2009-04-06

申请人： Don Tran ,  Timothy Ryan ,  Jeffrey Allen ,  Melissa Denton ,  Adam Podbelski

发明人： Don Tran ,  Timothy Ryan ,  Jeffrey Allen ,  Melissa Denton ,  Adam Podbelski

IPC分类号： A61F2/24 ,  A61F2/00 ,  A61F2/958 ,  A61F2/95

CPC分类号： A61F2/0095 ,  A61F2/2412 ,  A61F2/2418 ,  A61F2/2436 ,  A61F2/958 ,  A61F2002/9505 ,  A61F2002/9522

摘要： A packaging system is disclosed for shipping a prosthetic tissue valve in a storage solution and preparing and loading of the bioprosthetic valve onto a catheter-based delivery system. The packaging system includes a fluid tight container filled with the storage solution attached to a delivery catheter, wherein the container surrounds the prosthetic tissue valve that is in a pre-loaded position on the delivery catheter during shipment and storage. The prosthetic tissue valve may include an attachment mechanism that attaches to the delivery catheter to properly position the tissue valve for loading within the delivery catheter. In another embodiment where the prosthetic tissue valve is not attached to the delivery catheter during shipment, the attachment mechanism may interact with the prosthetic tissue valve shipping container to prevent the bioprosthetic valve from moving during shipment.

摘要翻译： 公开了一种用于在存储溶液中运送假体组织瓣膜并且将生物假体瓣膜准备和装载到基于导管的输送系统上的包装系统。 包装系统包括填充有附着到输送导管的储存溶液的流体密封容器，其中容器围绕在装运和储存期间处于输送导管的预加载位置的假肢组织瓣膜。 假体组织瓣膜可以包括附接到输送导管以将组织瓣膜正确定位以装载在输送导管内的附接机构。 在假体组织瓣膜在运输期间未附着到输送导管的另一实施例中，附接机构可与假体组织瓣膜运输容器相互作用，以防止生物假体瓣膜在运输期间移动。