公开(公告)号：WO2008048572A3

公开(公告)日：2008-04-24

申请号：PCT/US2007/022033

申请日：2007-10-16

Applicant: MEDTRONIC, INC.

Inventor： CLAGUE, Cynthia, T. ,  HOBDAY, Michael, J. ,  USHER, Raymond, W. ,  BRISCOE, Roderick, E. ,  JOLLY, Katherine, S. ,  BUHR, Rebecca, A. ,  OLIG, Christopher, P. ,  MEYER, Eric, A. ,  CHRISTIAN, Steven, C. ,  DAIGLE, Thomas, P. ,  REETZ, Robert, H. ,  SANDSTROM, Jeffrey, D. ,  KEOGH, James, R. ,  BONNER, Matthew, D. ,  JAHNS, Scott, E. ,  HAARSTAD, Philip, J.

IPC: A61F2/04

Abstract: Embodiments of the invention provide a cutting device and method of vessel harvesting. The cutting device can include at least one tubular member, a cutting element, and a centering member. The cutting device can include at least one tubular member with a flexible section and a cutting element. The method of vessel harvesting can include spacing a cutting element of the cutting device from the vessel as the cutting element is advanced over the vessel.

公开(公告)号：WO2006007410A2

公开(公告)日：2006-01-19

申请号：PCT/US2005/021361

申请日：2005-06-16

Applicant: MEDTRONIC, INC. ,  BONNER, Matthew, D. ,  KEOGH, James, R. ,  BRISCOE, Roderick, E. ,  JOLLY, Katherine, S. ,  USHER, Raymond, W. ,  BUHR, Rebecca, A. ,  CHRISTIAN, Steven, C. ,  CLAGUE, Cynthia, T. ,  HOBDAY, Michael, J. ,  JAHNS, Scott, E. ,  HAARSTAD, Philip, J. ,  DAIGLE, Tom, P. ,  REETZ, Robert, H. ,  SANDSTROM, Jeffrey, D.

Inventor： BRISCOE, Roderick, E. ,  JOLLY, Katherine, S. ,  USHER, Raymond, W. ,  BUHR, Rebecca, A. ,  CHRISTIAN, Steven, C. ,  CLAGUE, Cynthia, T. ,  HOBDAY, Michael, J. ,  JAHNS, Scott, E. ,  HAARSTAD, Philip, J. ,  DAIGLE, Tom, P. ,  REETZ, Robert, H. ,  SANDSTROM, Jeffrey, D.

IPC: A61B17/00

CPC classification number: A61B17/22 ,  A61B17/00008 ,  A61B17/320016 ,  A61B17/32002 ,  A61B17/32053 ,  A61B2017/00557 ,  A61B2017/00778 ,  A61B2017/22062 ,  A61B2017/22068

Abstract: The invention provides a system and method for harvesting a vessel section. The system comprises a vessel support member, a handle, and a tubular cutting device. The vessel support member is introduced into the vessel section to be harvested. The tubular cutting device may comprise an outer tubular member or an outer and an inner tubular member. The outer tubular member carries at least one cutting element. The tubular member or members are advanced over the vessel section and vessel support member to core out the vessel section and tissue adjoining the vessel section.

Abstract translation: 本发明提供了一种收集血管部分的系统和方法。 该系统包括容器支撑构件，手柄和管状切割装置。 将容器支撑构件引入待收获的容器部分。 管状切割装置可以包括外部管状构件或外部管状构件和内部管状构件。 外部管状构件承载至少一个切割元件。 管状构件在容器部分和容器支撑构件上前进，以将与容器部分相邻的容器部分和组织芯出。

公开(公告)号：WO2003026741A1

公开(公告)日：2003-04-03

申请号：PCT/US2002/030443

申请日：2002-09-25

Applicant: MEDTRONIC,INC.

Inventor： HILL, Micheal, R.S. ,  JAHNS, Scott, E. ,  KEOGH, James, R. ,  EULER, David, E. ,  UJHELYI, Michael, R. ,  RAKOW, Nancy ,  COLSON, Michael, A.

IPC: A61N1/362

CPC classification number: A61N1/0517 ,  A61M5/14276 ,  A61N1/0519 ,  A61N1/0556 ,  A61N1/056 ,  A61N1/36007 ,  A61N1/3601 ,  A61N1/36114 ,  A61N1/362 ,  A61N1/385 ,  A61N1/39

Abstract: A method of performing a medical procedure, such as surgery, is provided. A nerve is stimulated in order to adjust the beating of the heart to a first condition, such as a stopped or slowed condition. The medical procedure is performed on the heart or another organ. The stimulation of the nerve is stopped in order to adjust the beating of the heart to a second condition, such as a beating condition. The heart itself may also be stimulated to a beating condition, such as by pacing. The stimulation of the nerve may be continued in order to allow the medical procedure to be continued. Systems and devices for performing the medical procedure are also provided.

Abstract translation: 提供了一种执行诸如手术的医疗程序的方法。 刺激神经以将心脏的跳动调节到第一状态，例如停止或减缓的状态。 医疗程序在心脏或另一个器官上进行。 停止对神经的刺激，以便将心脏的跳动调节到第二状态，例如打浆状态。 心脏本身也可能被刺激到跳动状态，例如通过起搏。 可以继续刺激神经以允许继续医疗程序。 还提供用于执行医疗程序的系统和设备。

公开(公告)号：WO2006023266A1

公开(公告)日：2006-03-02

申请号：PCT/US2005/027422

申请日：2005-08-02

Applicant: MEDTRONIC, INC. ,  JAHNS, Scott, E. ,  FRANCISCHELLI, David, E.

Inventor： JAHNS, Scott, E. ,  FRANCISCHELLI, David, E.

IPC: A61B18/14

CPC classification number: A61B18/1206 ,  A61B18/14 ,  A61B18/1442 ,  A61B2017/00092 ,  A61B2018/0016 ,  A61B2018/00351 ,  A61B2018/00363 ,  A61B2018/00577 ,  A61B2018/00702 ,  A61B2018/00761 ,  A61B2018/00791 ,  A61B2018/00875 ,  A61B2018/00886 ,  A61B2018/1467 ,  A61B2218/002

Abstract: There is disclosed how complete or partial submersion of one or both of the jaws of an ablation device in a fluid may be detected prior, during or following an ablation procedure.Submersion sensors may be incorporated into the jaws of an ablation device and can be used to determine if the electrodes are fully submerged, partially submerged, or are in a state of oscillation etween submersion and non-submersion. There is also disclosed a system and method for creating lesions and assessing their completeness or transmurality. Assessment of transmurality of a lesion is accomplished by monitoring the impedance of the tissue to be ablated.

Abstract translation: 已经公开了在消融过程之前，期间或之后可以检测到在流体中的消融装置的一个或两个钳口的完全或部分浸没。浸没传感器可以被结合到消融装置的钳口中并且可以被使用 以确定电极是否完全浸没，部分浸没，或处于浸没和不浸没的振荡状态。 还公开了一种用于创建病变并评估其完整性或透视性的系统和方法。 通过监测要消融的组织的阻抗来评估病变的透壁性。

公开(公告)号：WO2004071316A2

公开(公告)日：2004-08-26

申请号：PCT/US2004/002739

申请日：2004-01-30

Applicant: MEDTRONIC, INC.

Inventor： FRANCISCHELLI, David, E. ,  WARMAN, Eduardo, N. ,  HARDER, Justin, A. ,  JAHNS, Scott, E. ,  LUTTERMAN, Alison

IPC: A61B18/14

CPC classification number: A61B18/1206 ,  A61B18/1442 ,  A61B2018/0016 ,  A61B2018/00351 ,  A61B2018/00363 ,  A61B2018/00577 ,  A61B2018/00702 ,  A61B2018/00761 ,  A61B2018/00791 ,  A61B2018/00875 ,  A61B2018/00886 ,  A61B2018/1467 ,  A61B2218/002

Abstract: .

Abstract translation: 。

公开(公告)号：WO2004064651A2

公开(公告)日：2004-08-05

申请号：PCT/US2004/000600

申请日：2004-01-09

Applicant: MEDTRONIC, INC.

Inventor： CLAGUE, Cynthia, T. ,  JAHNS, Scott, E. ,  ROTHSTEIN, Paul, T. ,  DAIGLE, Tom, P. ,  USHER, Raymond, W.

IPC: A61B17/32

CPC classification number: A61B17/32053 ,  A61B17/12 ,  A61B17/320016 ,  A61B2017/00243 ,  A61B2017/0243 ,  A61B2017/1107 ,  A61B2017/306 ,  A61B2017/320064

Abstract: Methods and apparatus employed in surgery involving making precise incisions through body vessel walls, particularly coronary arteries. A body vessel cutting instrument comprises an elongated instrument shaft extending between a shaft proximal end adapted to be manipulated outside the patient's body and a shaft distal end and having a shaft axis and first and second cutting blades supported at the shaft distal end. The first cutting blade extends substantially orthogonally or laterally to the shaft axis and has a first cutting edge extending along a trailing side, a cutting tip at the first cutting blade free end, and an atraumatic blunt surface along the leading side. The second cutting blade has a second cutting edge extending along a leading side, whereby the first and second cutting edges face one another and are brought together to slit a vessel wall.

Abstract translation: 在手术中使用的方法和装置包括通过体血管壁，特别是冠状动脉进行精确切口。 身体血管切割仪器包括细长的仪器轴，其在适于被操纵在患者身体外部的轴近端和轴远端之间延伸并且具有轴轴线，以及支撑在所述轴远端处的第一和第二切割刀片。 第一切割刀片基本上垂直或横向地延伸到轴线，并且具有沿着后侧延伸的第一切割边缘，在第一切割刀片自由端处的切割尖端以及沿着前侧的无损伤钝角表面。 第二切割刀片具有沿着前侧延伸的第二切削刃，由此第一切削刃和第二切削刃彼此面对并且一起切开血管壁。

公开(公告)号：WO2004041101A2

公开(公告)日：2004-05-21

申请号：PCT/US2003/033899

申请日：2003-10-27

Applicant: MEDTRONIC, INC.

Inventor： JAHNS, Scott, E. ,  FRANCISCHELLI, David, E. ,  LUTTERMAN, Alison ,  KEOGH, James, R. ,  BRISCOE, Roderick, E. ,  O"NEILL, William, G. ,  BILITZ, Mark, R. ,  GOODMAN, Jack ,  DAIGLE, Tom, P. ,  ROTHSTEIN, Paul, T. ,  PODBELSKI, Adam, A. ,  RODDY, Stephen, J. ,  KIM, David, J., S.

IPC: A61B18/14

CPC classification number: A61B18/1445 ,  A61B2018/1861

Abstract: 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.

Abstract translation: 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正在运行的确认。 流体输送系统简化了灌溉消融程序。

公开(公告)号：WO2004064647A1

公开(公告)日：2004-08-05

申请号：PCT/US2004/000597

申请日：2004-01-09

Applicant: MEDTRONIC, INC.

Inventor： BONNER, Matthew, D. ,  PIGNATO, Paul, A. ,  JAHNS, Scott, E. ,  USHER, Raymond, W.

IPC: A61B17/02

CPC classification number: A61B18/1485 ,  A61B18/1402 ,  A61B46/00 ,  A61B46/23 ,  A61B50/20 ,  A61B2018/00291 ,  A61B2090/306 ,  A61B2090/3614 ,  A61B2218/007 ,  A61M1/008

Abstract: A tubular suction tool (10) for accessing an anatomic surface or anatomic space and particularly the pericardium to access pericardial space and the epicardial surface of the heart to implant cardiac leads (90) in a minimally invasive manner are disclosed. The suction tool incorporates a suction pad (30) concave wall defining a suction cavity, a plurality of suction ports (42) arrayed about the concave wall, and a suction lumen, to form a bleb of tissue into the suction cavity when suction is applied. The suction cavity extends along one side of the suction pad, so that the suction pad and suction cavity can be applied tangentially against a tissue site. The suction tool can incorporate light emission (52) and video imaging of tissue adjacent the suction pad. A working lumen (20) terminating in a working lumen port (46) into the suction cavity enables introduction of tools, cardiac leads, and other instruments, cells, drugs or materials into or through the tissue bleb drawn into the suction cavity.

Abstract translation: 公开了一种用于访问解剖学表面或解剖空间的管状抽吸工具（10），特别是用于进入心包的心包和心外膜表面以微创方式植入心脏引线（90）。 抽吸工具包括限定吸入腔的吸盘（30）凹壁，围绕凹壁排列的多个吸入口（42）和抽吸腔，以在抽吸时形成吸入腔中的组织泡 。 吸入腔沿着吸盘的一侧延伸，使得吸力垫和抽吸腔可以相对于组织部位切向施加。 吸入工具可以包含发光（52）和邻近吸盘的组织的视频成像。 终止于进入吸入腔的工作管腔端口（46）的工作腔（20）能够将工具，心脏引线以及其它器械，细胞，药物或材料引入到吸入腔中的组织水泡中或穿过其中。

公开(公告)号：WO2003091814A1

公开(公告)日：2003-11-06

申请号：PCT/US2003/010106

申请日：2003-03-27

Applicant: MEDTRONIC, INC.

Inventor： JAHNS, Scott, E. ,  HOLMBERG, Glen

IPC: G05D16/10

CPC classification number: G05D16/2013 ,  A61B2017/00017 ,  A61B2017/00243 ,  A61B2017/0243 ,  A61B2017/306 ,  G05D16/10 ,  Y10S137/907 ,  Y10T137/7759 ,  Y10T137/7761

Abstract: A system, method and apparatus for regulating vacuum applied to surgical suction devices (20, 30) allowing the use of a single vacuum regulator (44) and associated canister to provide vacuum to two suction devices, such as a suction stabilizer (20) and a suction retractor (30). Vacuum controllers (50, 52) may be placed in the vacuum lines (54,56) provided to each of two or more suction devices, or may be placed only in the vacuum line of the suction device believed most likely to detach during the procedure.

Abstract translation: 一种用于调节施加到手术抽吸装置（20,30）上的真空的系统，方法和装置，允许使用单个真空调节器（44）和相关联的罐来向两个抽吸装置（例如吸力稳定器）提供真空，并且 抽吸牵开器（30）。 真空控制器（50,52）可以放置在设置到两个或更多个抽吸装置中的每一个的真空管线（54,56）中，或者可以仅放置在被认为最可能在程序中分离的抽吸装置的真空管线中 。

公开(公告)号：WO2003063718A1

公开(公告)日：2003-08-07

申请号：PCT/US2003/001033

申请日：2003-01-14

Applicant: MEDTRONIC, INC.

Inventor： OCEL, Jon, M. ,  BRISCOE, Roderick, E. ,  FRANCISCHELLI, David, E. ,  JAHNS, Scott, E. ,  KEOGH, James, R.

IPC: A61B18/18

CPC classification number: A61B5/042 ,  A61B5/7475 ,  A61B18/14 ,  A61B2017/2927 ,  A61B2018/1472 ,  A61N1/056

Abstract: An electrosurgical instrument (12, fig. 1) including an elongated shaft (22) and a non-conductive handle (20) is disclosed. The shaft defines a proximal section (40), a distal section (42), and an internal lumen (50) extending from the proximal section. The distal section forms an electrically conductive tip (44) and defines at least one passage (52) for distributing fluid. Further, the shaft is adapted to be transitionable from a straight state to a first bent state (fig. 5). 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 non­conductive. In one preferred embodiment, the shaft is comprised of an elongated electrode body surrounded by an electrical insulator.

Abstract translation: 公开了一种包括细长轴（22）和非导电手柄（20）的电外科器械（图1）。 轴限定近端部分（40），远端部分（42）和从近端部分延伸的内部腔（50）。 远侧部分形成导电尖端（44）并且限定用于分配流体的至少一个通道（52）。 此外，轴适于从直状态转变到第一弯曲状态（图5）。 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。