公开(公告)号：WO2005120377A1

公开(公告)日：2005-12-22

申请号：PCT/US2005/019130

申请日：2005-06-01

Applicant: MEDTRONIC, INC. ,  CORMACK, Terri, J. ,  ROTHSTEIN, Paul, T. ,  DAIGLE, Tom, P. ,  LUTTERMAN, Alison ,  BRISCOE, Roderick, E. ,  FRANCISHELLI, David, E.

Inventor： ROTHSTEIN, Paul, T. ,  DAIGLE, Tom, P. ,  LUTTERMAN, Alison ,  BRISCOE, Roderick, E. ,  FRANCISHELLI, David, E.

IPC: A61B18/14

CPC classification number: A61B18/1442 ,  A61B2017/2945 ,  A61B2018/00065 ,  A61B2018/00363 ,  A61B2018/00375 ,  A61B2018/00577 ,  A61B2018/1432

Abstract: Method and apparatus for ablating target tissue adjacent pulmonary veins of a patient. A clamping ablation tool can include an upper arm (12) having an upper neck (24), a link assembly (25), and an upper actuator (18). The link assembly can include a distal electrode and a proximal electrode. The clamping ablation tool includes a lower arm (14) that mates with the upper arm (12). The lower arm (21) can include a lower neck (42), a distal jaw (44), and a lower actuator (46). The distal jaw can include a jaw electrode (48), and the lower actuator (46) can control movement of the distal jaw (44).

Abstract translation: 用于消融患者的肺静脉附近的靶组织的方法和装置。 夹持消融工具可以包括具有上颈部（24），连杆组件（25）和上致动器（18）的上臂（12）。 连杆组件可以包括远端电极和近端电极。 夹持消融工具包括与上臂（12）配合的下臂（14）。 下臂（21）可以包括下颈部（42），远端钳口（44）和下致动器（46）。 远端钳口可以包括钳口电极（48），下部致动器（46）可以控制远端钳口（44）的移动。

公开(公告)号：WO2006009729A3

公开(公告)日：2006-01-26

申请号：PCT/US2005/021107

申请日：2005-06-16

Applicant: MEDTRONIC, INC.

Inventor： LUTTERMAN, Alison ,  ROTHSTEIN, Paul, T. ,  FRANCISCHELLI, David, E. ,  BRISCOE, Roderick, E. ,  LEUER, Leonard, H. ,  HAEG, Daniel, C. ,  DAIGLE, Tomas, P. ,  FALKNER, Philip, C. ,  WARMAN, Eduardo, N. ,  HETTRICK, Douglas, A. ,  STEINBRINK, Marie, T. ,  KIM, David, J., S. ,  STEWART, Mark, T. ,  CHRISTIAN, Steven, C. ,  OLIG, Christopher, P.

IPC: A61B17/10 ,  A61B17/08

Abstract: Some embodiments of the invention provide a system for occluding a left atrial appendage of a patient. Some embodiments of the system can include a ring occluder that can be positioned around the left atrial appendage and a ring applicator to position the ring occluder with respect to the left atrial appendage. Other embodiments of the invention provide a clip occluder that can be positioned around the left atrial appendage. A clip applicator can position the clip occluder with respect to the left atrial appendage.

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：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：WO2010118018A1

公开(公告)日：2010-10-14

申请号：PCT/US2010/030086

申请日：2010-04-06

Applicant: MEDTRONIC INC. ,  ROTHSTEIN, Paul ,  LUTTERMAN, Alison ,  KIM, David Jin Sung ,  DAIGLE, Tom P.

Inventor： ROTHSTEIN, Paul ,  LUTTERMAN, Alison ,  KIM, David Jin Sung ,  DAIGLE, Tom P.

IPC: A61B18/14

CPC classification number: A61B18/1445 ,  A61B2017/003 ,  A61B2018/00363 ,  A61B2018/00375 ,  A61B2018/00577

Abstract: Sub-xiphoid ablation clamp (30) for ablating tissue of a patient. The clamp has an elongate shaft (40) having a major axis, first and second opposing jaws (32) configured to open and close along a first plane, a first and second ablation element (33) positioned along the first and second jaws configured to ablate the tissue positioned therebetween, an actuable joint (38) operatively coupled between the shaft and the opposing jaws and configured to move the opposing jaws to a selectable angle relative to the major axis of the elongate shaft along a second plane orthogonal to the first plane. The ablation clamp has a handle (42) operatively coupled to the shaft having an actuator (46) configured to actuate the actuable joint and a trigger mechanism (44) to open and close the opposing jaws.

Abstract translation: 用于烧蚀患者组织的亚剑突消融夹（30）。 夹具具有长轴（40），其具有长轴，第一和第二相对的夹爪（32），构造成沿着第一平面打开和关闭，第一和第二消融元件（33）沿着第一和第二钳口定位， 切除位于其间的组织，可操作地联接在所述轴和所述相对的夹爪之间的致动接头（38），并且构造成沿着与所述第一平面正交的第二平面相对于所述细长轴的长轴将所述相对的夹爪移动到可选择的角度 。 消融夹具具有可操作地联接到轴的手柄（42），该手柄具有构造成致动可致动接头的致动器（46）和用于打开和关闭相对的钳口的触发机构（44）。

公开(公告)号：WO2005120374A1

公开(公告)日：2005-12-22

申请号：PCT/US2005/019022

申请日：2005-06-01

Applicant: MEDTRONIC, INC. ,  ROTHSTEIN, Paul, T. ,  BRISCOE, Roderick, E. ,  FRANCISCHELLI, David, E. ,  KIM, David, Jin, Sung ,  LUTTERMAN, Alison

Inventor： ROTHSTEIN, Paul, T. ,  BRISCOE, Roderick, E. ,  FRANCISCHELLI, David, E. ,  KIM, David, Jin, Sung ,  LUTTERMAN, Alison

IPC: A61B18/14

CPC classification number: A61B18/1442 ,  A61B2018/00363 ,  A61B2018/00375 ,  A61B2018/00577

Abstract: Method and apparatus for ablating target tissue adjacent pulmonary veins of a patient. The ablation device (30) can include a lower jaw assembly (32) including a proximal jaw (42) having a proximal electrode (50) and a distal jaw (62) having a distal electrode (70), and an upper jaw assembly (90) including an upper jaw (94) having an upper electrode (98). A proximal actuator (54) 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 (76) 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.

Abstract translation: 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（30）可以包括下钳口组件（32），其包括具有近端电极（50）的近端钳口（42）和具有远端电极（70）的远端钳口（62）和上钳口组件 90），包括具有上电极（98）的上钳口（94）。 近侧致动器（54）可以在其中近侧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。 远侧致动器（76）可以在其中远侧钳口打开的第三位置和相对于上钳口夹紧远端钳口的第四位置之间移动。

公开(公告)号：WO2003063717A1

公开(公告)日：2003-08-07

申请号：PCT/US2003/001036

申请日：2003-01-14

Applicant: MEDTRONIC,INC.

Inventor： FRANCISCHELLI, David, E. ,  MEHRA, Rahul ,  LUTTERMAN, Alison

IPC: A61B18/14

CPC classification number: A61B18/1492 ,  A61B2018/00029 ,  A61B2018/00351 ,  A61B2018/00363 ,  A61B2018/00577 ,  A61B2018/00738 ,  A61B2018/1253 ,  A61B2018/1472

Abstract: A system and method of making a lesion on living tissue including providing an electrosurgical system, determining a desired lesion depth, selecting a power setting, and applying electrical energy to the living tissue. The system includes an instrument having an electrode at a distal portion thereof, and a power source having multiple available power settings. The power source is electrically connected to the electrode. The step of applying electrical energy includes energizing the electrode at the selected power setting for a recommended energization time period that is determined by reference to predetermined length of time information and based upon the desired lesion depth and the selected power setting. The system preferably further includes a fluid source for irrigating the electrode at an irrigation rate. In this regard, the predetermined length of time information is generated as a function of irrigation rate.

Abstract translation: 一种在活体组织上形成损伤的系统和方法，包括提供电外科系统，确定期望的病变深度，选择功率设定以及向生物体组织施加电能。 该系统包括在其远端部分具有电极的仪器和具有多个可用功率设置的电源。 电源电连接到电极。 施加电能的步骤包括以所选择的功率设置激励电极，以建立通电时间段，该推荐通电时间周期参考预定时间长度信息确定，并且基于期望的病变深度和所选择的功率设置。 该系统优选地还包括用于以灌溉速率冲洗电极的流体源。 在这方面，根据灌溉速率产生预定长度的时间信息。