公开(公告)号：WO2017074726A1

公开(公告)日：2017-05-04

申请号：PCT/US2016/057263

申请日：2016-10-17

Applicant: ST. JUDE MEDICAL, CARDIOLOGY DIVISION, INC.

Inventor： LUPOTTI, Fermin A. ,  ROSENBERG, Stuart ,  SLIWA, John W. ,  SHAH, Riddhi

IPC: A61B8/00 ,  A61B18/14 ,  A61M25/00

CPC classification number: A61B8/12 ,  A61B8/4254 ,  A61B8/445 ,  A61B8/4461 ,  A61B8/4477 ,  A61B8/4494 ,  A61B8/483 ,  A61B18/1492 ,  A61B2018/00577 ,  A61B2090/3925 ,  A61M25/0023

Abstract: An ablation catheter (10) includes a body (12) having a distal end (16), a hollow tip (22) attached to the distal end and an ultrasound transducer assembly positioned within the hollow tip and mounted to rotate about a longitudinal axis of the catheter body. The hollow tip includes an acoustically transparent shell, which allows acoustic energy to pass to and from the ultrasound transducer assembly, and an electrically-conductive coating on its exterior surface, which allows ablating energy to be delivered to an adjacent tissue. A plurality of ribs extend inwardly from an inner surface of the shell. A system (100) incorporating the ablation catheter and methods of using the same to ablate, image and/or monitor tissue are also disclosed.

Abstract translation: 消融导管（10）包括具有远端（16），附接到远端的中空尖端（22）和定位在中空尖端内的超声换能器组件的主体（12），以及 安装成围绕导管主体的纵向轴线旋转。 中空尖端包括允许声能传递到超声换能器组件以及从超声换能器组件传递的声学透明外壳和其外表面上的导电涂层，其允许消融能量传递到相邻组织。 多个肋从壳体的内表面向内延伸。 还公开了包含消融导管的系统（100）以及使用消融导管消融，成像和/或监测组织的方法。

公开(公告)号：WO2014158708A1

公开(公告)日：2014-10-02

申请号：PCT/US2014/019435

申请日：2014-02-28

Applicant: ST. JUDE MEDICAL, CARDIOLOGY DIVISION, INC.

Inventor： VANSCOY, John ,  SEFKOW, Ryan ,  ROSENBERG, Stuart ,  KEEL, Allen ,  SHAH, Riddhi ,  HOU, Wenbo

IPC: A61B18/14 ,  A61B19/00 ,  A61B18/20

CPC classification number: A61B18/1492 ,  A61B18/201 ,  A61B18/22 ,  A61B2018/0016 ,  A61B2018/00267 ,  A61B2018/00404 ,  A61B2018/00434 ,  A61B2018/00511 ,  A61B2018/00577 ,  A61B2018/1467 ,  A61B2034/2051 ,  A61B2090/3966

Abstract: An ablation catheter includes an elongated body having a proximal end and a distal end. At least one ablation element is disposed on the body between the proximal end and the distal end and configured to ablate renal tissue to control hypertension. At least one localization sensor is disposed on the body and configured to interact with a magnetic field. The at least one localization sensor aids in determining an appropriate target tissue for ablation.

Abstract translation: 消融导管包括具有近端和远端的细长体。 至少一个消融元件设置在近端和远端之间的身体上，并且被配置为消融肾组织以控制高血压。 至少一个定位传感器设置在主体上并被配置成与磁场相互作用。 所述至少一个定位传感器有助于确定用于消融的适当的靶组织。

公开(公告)号：WO2018132543A1

公开(公告)日：2018-07-19

申请号：PCT/US2018/013277

申请日：2018-01-11

Applicant: ST. JUDE MEDICAL, CARDIOLOGY DIVISION, INC.

Inventor： MARKOVITZ, Craig ,  ROSENBERG, Stuart

IPC: A61B5/00 ,  A61B5/046

Abstract: A method of mapping arrhythmic activity, such as premature ventricular contraction ("PVC") activity, using an electroanatomical mapping system includes defining at least two arrhythmia template signals. Electrophysiology data points, each including an electrophysiological signal, are collected. A morphological similarity between the electrophysiological signal and a first arrhythmia template signal is computed; if this exceeds a preset threshold, then the electrophysiology data point is added to a corresponding arrhythmia map. If it does not, a morphological similarity between the electrophysiological signal and a second arrhythmia template signal is computed. If this exceeds the preset threshold, then the electrophysiology data point is added to a corresponding arrhythmia map. If neither exceeds the preset threshold, then the electrophysiology data point can be used to establish an additional arrhythmia map by defining an additional arrhythmia template signal.

公开(公告)号：WO2018071505A1

公开(公告)日：2018-04-19

申请号：PCT/US2017/056086

申请日：2017-10-11

Applicant: ST. JUDE MEDICAL, CARDIOLOGY DIVISION, INC.

Inventor： RICHER, Louis-Philippe ,  ROSENBERG, Stuart ,  RELAN, Jatin ,  RYU, Kyungmoo

IPC: A61B34/20

Abstract: The present disclosure provides apparatuses and methods for navigating a medical device into the body of a patient during an intracoronary or other medical procedure. In many embodiments, the present disclosure includes the use of a guidewire managing assembly that may be used in combination with a guidewire that includes a medical positioning system sensor. This guidewire managing assembly and sensor enabled guidewire are used in combination with a medical positioning system to determine the position of a medical device, such as a catheter or catheter sheath, and specifically the tip of the catheter or catheter sheath, that is threaded over the guidewire during a procedure. The present disclosure further relates to methods of tracking a medical device, such as a catheter tip, inside the body of a subject during a procedure.

Abstract translation: 本公开提供了用于在冠状动脉内或其他医疗过程期间将医疗装置导航到患者体内的装置和方法。 在许多实施例中，本公开包括使用可与包括医疗定位系统传感器的导丝组合使用的导丝管理组件。 该导丝管理组件和传感器使能的导丝与医学定位系统组合使用，以确定医疗装置（例如导管或导管鞘）的位置，并且确定导管或导管鞘的尖端穿过 导丝在手术过程中。 本公开还涉及在手术期间跟踪对象身体内的医疗装置（例如导管尖端）的方法。

公开(公告)号：WO2014149550A2

公开(公告)日：2014-09-25

申请号：PCT/US2014/019488

申请日：2014-02-28

Applicant: ST. JUDE MEDICAL, CARDIOLOGY DIVISION, INC.

Inventor： NABUTOVSKY, Yelena ,  KARST, Edward ,  MIN, Xiaoyi ,  ROSENBERG, Stuart ,  GUPTA, Kritika

IPC: A61B18/14

CPC classification number: A61B18/1492 ,  A61B5/0261 ,  A61B5/0538 ,  A61B5/201 ,  A61B5/4848 ,  A61B8/06 ,  A61B2018/00863

Abstract: A renal denervation system includes a renal denervation catheter and a flow determining system. The renal denervation catheter includes a plurality of ablation members positioned at a distal end portion thereof. The renal denervation catheter is insertable into a renal artery. The flow determining system includes a processor and first and second flow determining members spaced apart on the renal denervation catheter. The processor is configured to determine a change in blood flow through the renal artery resulting from a renal denervation procedure using the renal denervation catheter in response to input from the first and second flow determining members.

Abstract translation: 肾去神经支配系统包括肾去神经导管和流动确定系统。 肾去神经导管包括位于其远端部分处的多个消融部件。 肾去神经导管可插入肾动脉。 该流量确定系统包括处理器以及在肾去神经导管上间隔开的第一和第二流量确定构件。 处理器被配置为响应于来自第一和第二流动确定部件的输入，使用肾去神经支配导管确定由肾去神经支配过程产生的通过肾动脉的血流变化。