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公开(公告)号：US08998900B2
公开(公告)日：2015-04-07
申请号：US11408302
申请日：2006-04-21
CPC分类号： A61B18/1492 , A61B18/148 , A61B2018/00029 , A61B2018/00083 , A61B2018/00291 , A61B2018/00351 , A61B2018/00577 , A61B2018/00589 , A61B2018/1435 , A61B2018/1437 , A61B2018/1472 , A61B2018/1497 , A61B2218/002 , A61B2218/007
摘要： A surgical device integrating a suction mechanism with a coagulation mechanism is provided for improving lesion creation capabilities. The device comprises an elongate member having an insulative covering attached about means for coagulating soft tissue. Openings through the covering expose regions of the coagulation-causing elements and are coupled to lumens in the elongate member which are routed to a vacuum source. A fluid source to passively transport fluid along the contacted soft tissue surface may be provided in order to push the maximum temperature deeper into tissue.
摘要翻译： 提供了一种将抽吸机构与凝固机构整合的手术装置，用于改善损伤创建能力。 该装置包括细长构件，其具有围绕用于凝固软组织的装置的绝缘覆盖物。 穿过覆盖物的暴露部分暴露出凝结成分元件的区域，并且连接到细长构件中的路线到真空源的腔。 可以提供用于沿着接触的软组织表面被动地输送流体的流体源，以将最大温度推到组织中。
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公开(公告)号：US09808280B2
公开(公告)日：2017-11-07
申请号：US11737493
申请日：2007-04-19
IPC分类号： A61B17/00 , A61B17/34 , A61B17/02 , A61B17/12 , A61B17/32 , A61B17/29 , A61B17/30 , A61B18/00
CPC分类号： A61B17/3421 , A61B17/0218 , A61B17/12 , A61B17/320016 , A61B17/3423 , A61B2017/00243 , A61B2017/0243 , A61B2017/2905 , A61B2017/308 , A61B2017/3419 , A61B2017/3445 , A61B2017/3486 , A61B2018/00291
摘要： Methods and devices described herein facilitate improved treatment of body organs. More specifically, devices and methods described herein are for minimally invasive surgery permit improved diaphragmatic access to a body cavity to perform a surgical procedure, for example ablation and/or coagulation of cardiac tissue during minimally invasive surgical access to the heart. The diaphragmatic access described provides direct visualization of anatomic structures within the thoracic cavity such as the posterior left atrium, the posterior side of pulmonary veins, or any other such anatomic structure.
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公开(公告)号：US09603658B2
公开(公告)日：2017-03-28
申请号：US12821067
申请日：2010-06-22
CPC分类号： A61B18/1492 , A61B2018/00029 , A61B2018/00077 , A61B2018/00291 , A61B2018/00351 , A61B2018/00363 , A61B2018/00577 , A61B2018/00613 , A61B2018/1435 , A61B2018/1465 , A61B2218/002 , A61B2218/007
摘要： An embodiment of the invention includes a surgical device for coagulating soft tissue such as atrial tissue in the treatment of atrial fibrillation, atrial flutter, and atrial tachycardia; tendon or ligament shrinkage; or articular cartilage removal. The surgical device integrates a suction mechanism with the coagulation mechanism improving the lesion creation capabilities of the device. The surgical device comprises an elongate member having an insulative covering attached about conductive elements capable of coagulating soft tissue when radiofrequency or direct current energy is transmitted to the conductive elements. Openings through the insulative covering expose regions of the conductive elements and are coupled to lumens in the elongate member which are routed to a vacuum source. Suction causes the soft tissue to actively engage the opening thus the integrated, exposed conductive elements to facilitate the coagulation process and ensure the lesions created are consistent, continuous, and transmural. The embodiments of the invention can also incorporate cooling mechanisms associated with the conductive elements and coupled to a fluid source to passively transport fluid along the contacted soft tissue surface to cool thus pushing the maximum temperature deeper into tissue.
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公开(公告)号：US20110077672A1
公开(公告)日：2011-03-31
申请号：US12946987
申请日：2010-11-16
IPC分类号： A61B17/12
CPC分类号： A61B17/12013 , A61B17/00234 , A61B17/00491 , A61B17/0218 , A61B17/0401 , A61B17/0469 , A61B17/064 , A61B2017/00243 , A61B2017/00349 , A61B2017/0443 , A61B2017/0464 , A61B2017/0649 , A61B2017/3488 , A61F2/2487
摘要： Devices for insertion into an atrial appendage of stasis reducing components such as mesh members, chemical bonding agents or expandable anchors are disclosed.
摘要翻译： 公开了用于插入龋齿减少组件如网状构件，化学粘合剂或可扩张锚的心房附件的装置。
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公开(公告)号：US06972023B2
公开(公告)日：2005-12-06
申请号：US10122075
申请日：2002-04-11
IPC分类号： A61B17/00 , A61B17/02 , A61B17/064 , A61B17/068 , A61B17/11 , A61B17/30 , A61B17/08
CPC分类号： A61B17/11 , A61B17/0206 , A61B17/064 , A61B17/0643 , A61B17/068 , A61B17/30 , A61B2017/00243 , A61B2017/0243 , A61B2017/1107 , A61B2017/1135
摘要： Distal anastomosis devices and associated methodology are described herein. Connector and connector components as well as tools associated therewith are disclosed. The connectors are preferably adapted to produce an end-to-side anastomosis at a graft/coronary artery junction. A fitting alone, or a fitting in combination with a collar may be used as a connector. Each fitting may be deployed by deflecting its shape to provide clearance for a rear segment that rotates about adjoining hinge section(s) so to fit the connector within an aperture formed in a host vessel. Upon return to a substantially relaxed position, a rear segment anchors the fitting it in place. The distal fitting may include additional side features for interfacing with the host vessel/coronary artery. The collar may include features complimentary to those of a fitting and provisions for securing the graft vessel.
摘要翻译： 本文描述了远端吻合装置和相关方法。 公开了连接器和连接器部件以及与其相关联的工具。 连接器优选适于在移植物/冠状动脉交界处产生端对侧吻合。 单独的配件或与套环组合的配件可以用作连接器。 每个配件可以通过偏转其形状来部署，以便为围绕相邻的铰链部分旋转的后部段提供间隙，以便将连接器装配在形成在主机容器中的孔内。 在返回到基本松弛的位置时，后部段将其安装在适当的位置。 远端配件可以包括用于与宿主血管/冠状动脉接口的附加侧部特征。 套环可以包括与配件相匹配的特征和用于固定移植物容器的装置。
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公开(公告)号：US06830576B2
公开(公告)日：2004-12-14
申请号：US10098695
申请日：2002-03-15
IPC分类号： A61B1704
CPC分类号： A61B17/0218 , A61B17/00234 , A61B17/0469 , A61B17/064 , A61B17/12013 , A61B2017/00243 , A61B2017/00349 , A61B2017/0443 , A61B2017/0464 , A61B2017/048 , A61B2017/0649 , A61B2017/3488
摘要： Devices for insertion into an atrial appendage of stasis reducing components such as mesh members, chemical bonding agents or expandable anchors are disclosed.
摘要翻译： 公开了用于插入龋齿减少组件如网状构件，化学粘合剂或可扩张锚的心房附件的装置。
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公开(公告)号：US06599302B2
公开(公告)日：2003-07-29
申请号：US09329658
申请日：1999-06-10
IPC分类号： A61B1704
CPC分类号： A61F2/064 , A61B17/11 , A61B17/32053 , A61B2017/00867 , A61B2017/1107 , A61B2017/1135 , A61B2017/306 , A61F2/91
摘要： A system and components for treating aortic aneurysms includes a reinforcing graft and fittings for securing the graft to a host vessel and to branch vessels, for example the iliac and renal arteries. Combinations of fittings and rings or other compression mechanisms secure vessels or grafts frictionally, for end-end or end-side couplings. A variety of tools are disclosed for manipulating retaining rings, everting portions of grafts or vessels in the course of coupling them to fittings, and clamping fittings while positioning the retaining rings.
摘要翻译： 用于治疗主动脉瘤的系统和组件包括加强移植物和用于将移植物固定到宿主血管和分支血管（例如髂动脉和肾动脉）的配件。 配件和环的组合或其他压缩机构摩擦地固定血管或移植物，用于端端或端侧联接。 公开了各种用于操作保持环，在将它们连接到配件的过程中的移植物或容器的弯曲部分以及夹持配件同时定位保持环的工具。
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8.发明授权Systems and methods for forming elongated lesion patterns in body tissue using straight or curvilinear electrode elements 失效使用直线或曲线电极元件在身体组织中形成细长病变图案的系统和方法公开(公告)号：US06471699B1
公开(公告)日：2002-10-29
申请号：US09579730
申请日：2000-05-26
IPC分类号： A61B1818
CPC分类号： A61B5/0422 , A61B5/6855 , A61B5/6857 , A61B5/6858 , A61B18/1402 , A61B18/1492 , A61B18/1815 , A61B2017/00084 , A61B2017/00088 , A61B2017/00092 , A61B2017/00292 , A61B2017/003 , A61B2018/00083 , A61B2018/00107 , A61B2018/00148 , A61B2018/0016 , A61B2018/00196 , A61B2018/00214 , A61B2018/00267 , A61B2018/00357 , A61B2018/00577 , A61B2018/00755 , A61B2018/00791 , A61B2018/00839 , A61B2018/00869 , A61B2018/00875 , A61B2018/124 , A61B2018/1253 , A61B2018/126 , A61B2018/1407 , A61B2018/1435 , A61B2018/1497 , A61B2018/1861 , A61B2562/0209 , A61B2562/043 , A61L29/085 , A61L29/145 , A61L31/10 , A61L31/145 , A61M25/0041 , A61M2025/09141 , A61N1/056 , A61N1/06 , A61N1/40 , A61N1/403 , G01K1/026 , G01K3/14 , C08L1/02
摘要： Systems and associated methods position arrays of multiple emitters of ablating energy in straight or curvilinear positions in contact with tissue to form elongated lesion patterns. The elongated lesion patterns can continuous or interrupted, depending upon the orientation of the energy emitters.
摘要翻译： 系统和相关方法将多个发射器的阵列放置在与组织接触的直线或曲线位置中，以形成细长的病变图案。 取决于能量发射器的取向，细长的损伤图案可以连续或中断。
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公开(公告)号：US06214002B1
公开(公告)日：2001-04-10
申请号：US09524080
申请日：2000-03-13
IPC分类号： A61B1814
CPC分类号： A61N1/056 , A61B18/1492 , A61B18/1815 , A61B2017/2911 , A61B2018/00083 , A61B2018/00148 , A61B2018/00214 , A61B2018/00916 , A61B2018/00946 , A61B2018/00952 , A61B2018/1407 , A61B2018/142
摘要： An electrode support structure comprises a guide body having at its distal end a flexible spline leg. The spline leg is flexed to define an arcuate shape to facilitate intimate contact against tissue. An electrode element is carried by the spline leg for movement along its axis. The structure includes a control element coupled to the electrode element. The control element remotely imparts force to move the electrode element along the axis of the spline leg. Therefore, in use, the physician can cause the electrode element to travel along a path that the spline leg defines, without otherwise changing the location of the guide body.
摘要翻译： 电极支撑结构包括导向体，其在其远端具有柔性花键腿。 花键腿弯曲以限定弓形，以促进与组织的紧密接触。 电极元件由花键腿承载，以沿其轴线移动。 该结构包括耦合到电极元件的控制元件。 控制元件远程地施加力以沿着花键腿的轴线移动电极元件。 因此，在使用中，医生可以使电极元件沿着花键腿限定的路径行进，而不改变引导体的位置。
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公开(公告)号：US06203525B1
公开(公告)日：2001-03-20
申请号：US08961374
申请日：1997-10-30
IPC分类号： A61M3100
CPC分类号： A61M25/0043 , A61B18/1492 , A61B2017/00867 , A61B2018/00065 , A61B2018/00553 , A61B2018/00577 , A61B2018/00797 , A61B2018/1407 , A61B2018/142 , A61B2018/1467 , A61B2018/1861 , A61M25/01 , A61M25/0144 , A61M25/0147 , A61M25/0152 , A61M31/00 , A61M2025/015 , A61M2025/0163 , C08L2201/12
摘要： A catheter assembly having a sheath, which includes a side wall enclosing an interior bore, and a distal region. The assembly also has a bendable catheter tube, which is carried for sliding movement in the interior bore. A pull wire also runs through the interior bore of the sheath, preferably within a lumen. The catheter tube has a distal portion with a coupling which joins the distal portion of the catheter tube and the distal portion of the pull wire. Relative movement of the pull wire and the sheath causes bending of the catheter tube outwardly through the opening, in response to sliding movement of the catheter tube within the interior bore toward the distal region of the sheath.
摘要翻译： 具有护套的导管组件，其包括封闭内孔的侧壁和远端区域。 组件还具有可弯曲的导管，其被承载用于在内孔中滑动。 拉线也穿过护套的内孔，优选地在内腔内。 导管具有远端部分，其具有连接导管管的远端部分和拉线的远端部分的联接件。 牵引线和护套的相对运动导致导管管向外穿过开口弯曲，以响应导管在内孔内朝向护套的远端区域的滑动运动。
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