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11. 发明申请

US20070043397A1 Cardiac mapping instrument with shapeable electrode 审中-公开
标题翻译：具有可塑电极的心脏测绘仪
公开(公告)号：US20070043397A1
公开(公告)日：2007-02-22
申请号：US11586112
申请日：2006-10-25
申请人： Jon Ocel , Roderick Briscoe , David Francischelli , Scott Jahns , James Keogh , Katherine Jolly , Matthew Bonner
发明人： Jon Ocel , Roderick Briscoe , David Francischelli , Scott Jahns , James Keogh , Katherine Jolly , Matthew Bonner
IPC分类号： A61N1/362
CPC分类号： A61B5/042 , A61B5/7475 , A61B18/14 , A61B2017/2927 , A61B2018/1472 , A61N1/056
摘要： An instrument including an elongated shaft and a non-conductive handle is disclosed. The shaft defines a proximal section and a distal section. The distal section forms an electrically conductive tip. Further, the shaft is adapted to be transitionable from a straight state to a first bent state. 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. The instrument is useful for epicardial pacing and/or mapping of the heart for temporary pacing on a beating heart, for optimizing the placement of ventricular leads for the treatment of patients with congestive heart failure and ventricular dysynchrony and/or for use in surgical ablation procedures.
摘要翻译：公开了一种包括细长轴和非导电手柄的仪器。轴限定近端部分和远端部分。远侧部分形成导电尖端。此外，轴适于从直状态转变到第一弯曲状态。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。该仪器可用于心脏起搏和/或心脏在心脏跳动中临时起搏的作用，以优化用于治疗患有充血性心力衰竭和心室异常不适和/或用于外科手术切除手术的患者的心室导线的位置。

12. 发明申请

US20050096707A1 Method and system for monitoring and controlling systemic and pulmonary circulation during a medical procedure 审中-公开
标题翻译：在医疗过程中监测和控制全身和肺循环的方法和系统
公开(公告)号：US20050096707A1
公开(公告)日：2005-05-05
申请号：US11000262
申请日：2004-11-30
申请人： Michael Hill , Scott Jahns , James Keogh
发明人： Michael Hill , Scott Jahns , James Keogh
IPC分类号： A61N1/36 , A61N1/38 , A61N1/365
CPC分类号： A61N1/36114 , A61N1/385
摘要： A method of performing a medical procedure, such as surgery, is provided. The system comprises a sensor to sense a biological characteristic, such as a chemical, physical or physiological characteristic of a bodily tissue or fluid. The method also comprises a nerve stimulator in communication with the sensor to inhibit beating of a heart when the sensor senses the biological characteristic at a first value; and a cardiac stimulator in communication with the sensor to stimulate beating of the heart when the sensor senses the biological characteristic at a second value.
摘要翻译：提供了一种执行诸如手术的医疗程序的方法。该系统包括用于感测身体组织或液体的生物学特性，例如化学，物理或生理特征的传感器。所述方法还包括与所述传感器通信的神经刺激器，以在所述传感器以第一值感测所述生物学特性时抑制心脏跳动; 以及与所述传感器通信的心脏刺激器，以在所述传感器以第二值感测所述生物特征时刺激所述心跳。

13. 发明申请

US20070208388A1 Method and system for nerve stimulation and cardiac sensing prior to and during a medical procedure 审中-公开
标题翻译：在医疗过程之前和期间神经刺激和心脏感知的方法和系统
公开(公告)号：US20070208388A1
公开(公告)日：2007-09-06
申请号：US11796663
申请日：2007-04-27
申请人： Scott Jahns , Michael Hill , James Keogh
发明人： Scott Jahns , Michael Hill , James Keogh
IPC分类号： A61N1/362
CPC分类号： A61N1/36114 , A61N1/362 , A61N1/385
摘要： 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. A sensor to sense a characteristic of a fluid or tissue, such as an impending contraction, may be also used during the medical procedure. Systems and devices for performing the medical procedure are also provided.
摘要翻译：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手术。也可以在医疗过程中使用用于感测流体或组织的特征的传感器，例如即将收缩的收缩。还提供用于执行医疗程序的系统和设备。

14. 发明申请

US20070118107A1 Vibration sensitive ablation device and method 审中-公开
标题翻译：振动敏感消融装置及方法
公开(公告)号：US20070118107A1
公开(公告)日：2007-05-24
申请号：US11648976
申请日：2007-01-03
申请人： David Francischelli , Scott Jahns , James Keogh
发明人： David Francischelli , Scott Jahns , James Keogh
IPC分类号： A61B18/14
CPC分类号： A61B18/1442 , A61B18/14 , A61B18/1402 , A61B18/1445 , A61B2017/00022 , A61B2017/00084 , A61B2017/00115 , A61B2017/00128 , A61B2017/00243 , A61B2017/00247 , A61B2017/003 , A61B2017/0243 , A61B2017/306 , A61B2018/00011 , A61B2018/00107 , A61B2018/0016 , A61B2018/00291 , A61B2018/00351 , A61B2018/00392 , A61B2018/00577 , A61B2018/00666 , A61B2018/00672 , A61B2018/00702 , A61B2018/00708 , A61B2018/00791 , A61B2018/00797 , A61B2018/00815 , A61B2018/00821 , A61B2018/0088 , A61B2018/1253 , A61B2018/126 , A61B2018/146 , A61B2018/1472 , A61B2218/002
摘要： An ablation apparatus including a maneuvering mechanism, a conductive element attached to the apparatus, a sensor attached to the apparatus and an output device in communication with the sensor is provided. The sensor senses vibration during the ablation procedure and sends a signal to the output device to reduce power to the conductive element.
摘要翻译：提供一种消融装置，包括操纵机构，附接到装置的导电元件，附接到装置的传感器和与传感器连通的输出装置。传感器感测消融过程中的振动，并将信号发送到输出设备以降低导电元件的功率。

15. 发明申请

US20060195083A1 Electrosurgical hemostat 审中-公开
标题翻译：电外科止血钳
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。

16. 发明申请

US20070208381A1 Method and system for spinal cord stimulation prior to and during a medical procedure 审中-公开
公开(公告)号：US20070208381A1
公开(公告)日：2007-09-06
申请号：US11701185
申请日：2007-02-01
申请人： Michael Hill , Scott Jahns , James Keogh
发明人： Michael Hill , Scott Jahns , James Keogh
IPC分类号： A61N1/36
CPC分类号： A61N1/36014 , A61N1/36021 , A61N1/3625 , A61N1/385
摘要： A method of performing a medical procedure, such as surgery, is provided. The spinal cord is stimulated in order to control at least one physiological function. The medical procedure is performed and stimulation of the spinal cord is stopped.

17. 发明申请

US20060041254A1 Electrosurgical hemostat 有权
标题翻译：电外科止血钳
公开(公告)号：US20060041254A1
公开(公告)日：2006-02-23
申请号：US11040663
申请日：2005-01-21
申请人： David Francischelli , Roderick Briscoe , Paul Rothstein , David Jin Kim , James Keogh , Tom Daigle , Adam Podbellski , Stephen Roddy , Steve Christian , Brian Ross , James Skarda , Scott Jahns , Alison Lutterman
发明人： David Francischelli , Roderick Briscoe , Paul Rothstein , David Jin Kim , James Keogh , Tom Daigle , Adam Podbellski , Stephen Roddy , Steve Christian , Brian Ross , James Skarda , Scott Jahns , Alison Lutterman
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. The device may include a swiveling head assembly that allows the jaws to be adjusted in pitch and/or roll. The device may include a malleable or articulating handle shaft, as well as, malleable or curved rigid jaws that can permit curved lesion shapes. A locking detent can secure the jaws in a closed position during the procedure. The device may include one or more remote actuators making the hemostat-type device useful for minimally invasive 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。该装置可以包括旋转头组件，其允许在间距和/或辊中调整夹爪。该装置可以包括可延展的或铰接的手柄轴，以及可以允许弯曲的损伤形状的可延展或弯曲的刚性钳口。在操作过程中，锁定爪可以将夹爪固定在关闭位置。该装置可以包括一个或多个远程致动器，其使止血器装置用于微创程序。

18. 发明申请

US20050004644A1 Rotatable lead introducer 有权
标题翻译：可旋转引导引导器
公开(公告)号：US20050004644A1
公开(公告)日：2005-01-06
申请号：US10840668
申请日：2004-05-06
申请人： Daniel Kelsch , James Mellor , Kenneth Rundle , Roger Fell , Scott Jahns , Dave Erickson , Vincent Fischer , Kent Anderson
发明人： Daniel Kelsch , James Mellor , Kenneth Rundle , Roger Fell , Scott Jahns , Dave Erickson , Vincent Fischer , Kent Anderson
IPC分类号： A61B17/00 , A61B17/04 , A61B17/28 , A61B17/88 , A61N1/05
CPC分类号： A61N1/0587 , A61B17/8888 , A61B2017/00243 , A61B2017/003 , A61B2017/0409 , A61B2017/0441 , A61B2017/2929 , A61B2017/2937 , A61N2001/0578 , B25B27/143
摘要： Minimally invasive introducers and methods that can be used for rotationally securing devices within the human body. Introducers can include a distal element for releasably engaging a lead head controllable from a proximal control located outside of the body. An inner stem can extend between a proximal portion and a distal portion, and be pivotally and rotatably coupled to the distal lead engagement mechanism. An outer tube can be rotatably disposed over the inner stem and be flexibly coupled over the pivot to rotationally drive the distal element. A helical epicardial-myocardial lead electrode can be secured and oriented straight ahead and introduced through a port or small incision with the introducer in a straight configuration. The introducer can then be bent and rotated to screw the helical electrode into the heart.
摘要翻译：微创介入器和方法可用于旋转地固定人体内的装置。导引器可以包括用于可释放地接合从位于身体外部的近侧控制器控制的引导头的远侧元件。内杆可以在近端部分和远侧部分之间延伸，并且可枢转地和可旋转地联接到远侧引导接合机构。外管可以可旋转地设置在内杆上方并且被柔性地联接在枢轴上以旋转地驱动远侧元件。螺旋状心外膜 - 心肌引导电极可以被固定并且直线前进并且通过端口或小切口引入导引器直线配置。然后可以将引导器弯曲并旋转以将螺旋电极螺钉拧入心脏。

19. 发明授权

US07967816B2 Fluid-assisted electrosurgical instrument with shapeable electrode 有权
标题翻译：具有可塑电极的流体辅助电外科器械
公开(公告)号：US07967816B2
公开(公告)日：2011-06-28
申请号：US10056807
申请日：2002-01-25
申请人： Jon Ocel , Roderick Briscoe , David Francischelli , Scott Jahns , James R. Keogh
发明人： Jon Ocel , Roderick Briscoe , David Francischelli , Scott Jahns , James R. Keogh
IPC分类号： A61B18/18
CPC分类号： A61B5/042 , A61B5/7475 , A61B18/14 , A61B2017/2927 , A61B2018/1472 , A61N1/056
摘要： An electrosurgical instrument including an elongated shaft and a non-conductive handle. The shaft defines a proximal section, a distal section, and an internal lumen extending from the proximal section. The distal section forms an electrically conductive tip and defines at least one passage for distributing fluid. Further, the shaft is adapted to be transitionable from a straight state to a first bent state. 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 non-conductive. In one preferred embodiment, the shaft is comprised of an elongated electrode body surrounded by an electrical insulator.
摘要翻译：一种电外科器械，包括细长轴和非导电手柄。轴限定近端部分，远端部分和从近端部分延伸的内部内腔。远侧部分形成导电尖端并且限定用于分配流体的至少一个通道。此外，轴适于从直状态转变到第一弯曲状态。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。

20. 发明申请

US20080009679A1 System, method and apparatus for regulating vacuum supplied to surgical tools 失效
标题翻译：用于调节提供给外科手术工具的真空的系统，方法和装置
公开(公告)号：US20080009679A1
公开(公告)日：2008-01-10
申请号：US11411272
申请日：2006-04-26
申请人： Scott Jahns , Glen Holmberg
发明人： Scott Jahns , Glen Holmberg
IPC分类号： A61B1/32
CPC分类号： G05D16/2013 , A61B2017/00017 , A61B2017/00243 , A61B2017/0243 , A61B2017/306 , G05D16/10 , Y10S137/907 , Y10T137/7759 , Y10T137/7761
摘要： A system, method and apparatus for regulating vacuum applied to surgical suction devices allowing the use of a single vacuum regulator and associated canister to provide vacuum to two suction devices, such as a suction stabilizer and a suction retractor. Vacuum controllers may be placed in the vacuum lines 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. Each vacuum controller is provided with a primary vacuum line, coupling its associated suction device to the output of the vacuum regulator and a pilot passage, also coupling the suction device to the vacuum regulator. The controller closes a valve in the main vacuum line in response to loss of vacuum attachment, which valve remains closed until attachment is reestablished. Closure of the valve results in substantial or complete blockage of the main vacuum line. The pilot passage, which may be part of the valve or a separate vacuum line, serves to allow reestablishment of vacuum attachment while the valve is closed. The pilot passage is configured so that airflow through the pilot passage is low enough that the other suction device or devices coupled to the vacuum regulator can still maintain vacuum attachment.
摘要翻译：一种用于调节施加到手术抽吸装置上的真空的系统，方法和装置，允许使用单个真空调节器和相关联的罐向两个抽吸装置（例如吸力稳定器和抽吸牵开器）提供真空。真空控制器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中，或者可以仅放置在被认为最可能在该过程期间分离的抽吸装置的真空管线中。每个真空控制器设置有一个初级真空管线，将其相关联的抽吸装置连接到真空调节器的输出端，以及一个先导通道，也将抽吸装置连接到真空调节器。控制器响应于真空附件的损失而关闭主真空管线中的阀门，该阀门保持关闭，直到附件被重新建立。阀的关闭导致主真空管线的实质或完全堵塞。可以是阀门或单独的真空管线的一部分的先导通道用于在阀门关闭时重新建立真空附件。引导通道被配置成使得通过导向通道的气流足够低，使得联接到真空调节器的另一个抽吸装置仍能保持真空附着。

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