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31. 发明授权

US07186250B2 Method and apparatus for positioning a diagnostic or therapeutic element within the body and tip electrode for use with same 有权
标题翻译：用于将诊断或治疗元件定位在体内和末端电极内以与其一起使用的方法和装置
公开(公告)号：US07186250B2
公开(公告)日：2007-03-06
申请号：US10658616
申请日：2003-09-08
申请人： Josef V. Koblish , David K. Swanson
发明人： Josef V. Koblish , David K. Swanson
IPC分类号： A61B18/18
CPC分类号： A61B18/1482 , A61B18/1442 , A61B18/1492 , A61B18/1815 , A61B2017/22038 , A61B2018/00083 , A61B2018/00101 , A61B2018/00136 , A61B2018/0016 , A61B2018/00214 , A61B2018/00351 , A61B2018/00363 , A61B2018/00577 , A61B2018/00797 , A61B2018/00821 , A61B2018/0091 , A61B2018/00916 , A61B2018/124 , A61B2018/1253 , A61B2018/126 , A61B2018/1407 , A61B2018/142 , A61B2018/1475
摘要： Surgical methods and apparatus for positioning diagnostic an therapeutic elements on the epicardium or other organ surface. The apparatus include a relatively short shaft and an adjustable loop structure that supports
摘要翻译：手术方法和装置，用于将治疗元件定位在心外膜或其他器官表面上。该装置包括相对短的轴和可调节的环形结构，其支撑

32. 发明授权

US07052492B2 Surgical method and apparatus for positioning a diagnostic or therapeutic element within the body 有权
公开(公告)号：US07052492B2
公开(公告)日：2006-05-30
申请号：US10930082
申请日：2004-08-30
申请人： David K. Swanson , Sidney D. Fleischman , Josef V. Koblish , Russell B. Thompson , James G. Whayne , Thomas R. Jenkins , Edward J. Snyder
发明人： David K. Swanson , Sidney D. Fleischman , Josef V. Koblish , Russell B. Thompson , James G. Whayne , Thomas R. Jenkins , Edward J. Snyder
IPC分类号： A61B18/14
CPC分类号： A61B18/1492 , A61B18/1482 , A61B18/1815 , A61B2017/22038 , A61B2017/2911 , A61B2018/00083 , A61B2018/00101 , A61B2018/00136 , A61B2018/00148 , A61B2018/0016 , A61B2018/00214 , A61B2018/00351 , A61B2018/00577 , A61B2018/00797 , A61B2018/00821 , A61B2018/0091 , A61B2018/00916 , A61B2018/00946 , A61B2018/00952 , A61B2018/124 , A61B2018/1253 , A61B2018/126 , A61B2018/1407 , A61B2018/142 , A61B2018/1475 , A61N1/056
摘要： A surgical method and apparatus for positioning a diagnostic or therapeutic element within the body. The apparatus may be catheter-based or a probe including a relatively short shaft.

33. 发明授权

US06904303B2 Apparatus for mapping and coagulating soft tissue in or around body orifices 有权
标题翻译：用于在身体孔内或周围绘图和凝固软组织的装置
公开(公告)号：US06904303B2
公开(公告)日：2005-06-07
申请号：US10317613
申请日：2002-12-11
申请人： Huy D. Phan , David K. Swanson , Josef V. Koblish , Russell B. Thompson , Thomas R. Jenkins
发明人： Huy D. Phan , David K. Swanson , Josef V. Koblish , Russell B. Thompson , Thomas R. Jenkins
IPC分类号： A61B18/20 , A61B18/00 , A61B18/12 , A61B18/14 , A61B18/18 , A61M25/04 , A61B5/042
CPC分类号： A61B18/1492 , A61B18/08 , A61B2018/00065 , A61B2018/00083 , A61B2018/00095 , A61B2018/0016 , A61B2018/00214 , A61B2018/00238 , A61B2018/00267 , A61B2018/00273 , A61B2018/00351 , A61B2018/00577 , A61B2018/1467 , A61M2025/105 , A61M2025/1086
摘要： A probe that may be used to create circumferential lesions in body tissue and, in some implementations, may also be used to perform mapping functions. The probe includes a collapsible/expandable structure that supports electrodes or other operative elements against the body tissue.
摘要翻译：可用于在身体组织中产生周向损伤的探针，并且在一些实施方式中也可以用于执行映射功能。探针包括支撑电极或抵抗身体组织的其它手术元件的可折叠/可扩展结构。

34. 发明授权

US06613046B1 Loop structures for supporting diagnostic and therapeutic elements in contact with body tissue 有权
公开(公告)号：US06613046B1
公开(公告)日：2003-09-02
申请号：US09447183
申请日：1999-11-22
申请人： Thomas R. Jenkins , Josef V. Koblish , Russell B. Thompson , David K. Swanson
发明人： Thomas R. Jenkins , Josef V. Koblish , Russell B. Thompson , David K. Swanson
IPC分类号： A61B1814
CPC分类号： A61B18/1492 , A61B2018/00065 , A61B2018/00077 , A61B2018/00113 , A61B2018/00148 , A61B2018/00214 , A61B2018/00375 , A61B2018/00797 , A61B2018/00821 , A61B2018/1467
摘要： A probe that facilitates the creation of circumferential lesions in body tissue. The probe includes a elongate body and a loop structure that supports electrodes or other operative elements against the body tissue.

35. 发明授权

US06529756B1 Apparatus for mapping and coagulating soft tissue in or around body orifices 有权
公开(公告)号：US06529756B1
公开(公告)日：2003-03-04
申请号：US09447182
申请日：1999-11-22
申请人： Huy D. Phan , David K. Swanson , Josef V. Koblish , Russell B. Thompson , Thomas R. Jenkins
发明人： Huy D. Phan , David K. Swanson , Josef V. Koblish , Russell B. Thompson , Thomas R. Jenkins
IPC分类号： A61B5042
CPC分类号： A61B18/1492 , A61B18/08 , A61B2018/00065 , A61B2018/00083 , A61B2018/00095 , A61B2018/0016 , A61B2018/00214 , A61B2018/00238 , A61B2018/00267 , A61B2018/00273 , A61B2018/00351 , A61B2018/00577 , A61B2018/1467 , A61M2025/105 , A61M2025/1086
摘要： A probe that may be used to create circumferential lesions in body tissue and, in some implementations, may also be used to perform mapping functions. The probe includes a collapsible/expandable structure that supports electrodes or other operative elements against the body tissue.

36. 发明授权

US06468272B1 Surgical probe for supporting diagnostic and therapeutic elements in contact with tissue in or around body orifices 有权
标题翻译：用于支持与身体孔内或周围的组织接触的诊断和治疗元件的手术探针
公开(公告)号：US06468272B1
公开(公告)日：2002-10-22
申请号：US09447185
申请日：1999-11-22
申请人： Josef V. Koblish , David K. Swanson , Huy D. Phan , Edward J. Snyder
发明人： Josef V. Koblish , David K. Swanson , Huy D. Phan , Edward J. Snyder
IPC分类号： A61B1814
CPC分类号： A61N1/056 , A61B18/1482 , A61B18/1492 , A61B18/1815 , A61B2017/22038 , A61B2018/00083 , A61B2018/00101 , A61B2018/00136 , A61B2018/00148 , A61B2018/0016 , A61B2018/00214 , A61B2018/00351 , A61B2018/00577 , A61B2018/00797 , A61B2018/00821 , A61B2018/0091 , A61B2018/00916 , A61B2018/00946 , A61B2018/00952 , A61B2018/124 , A61B2018/1253 , A61B2018/126 , A61B2018/1407 , A61B2018/142 , A61B2018/1475
摘要： A probe that facilitates the creation of circumferential lesions in bodily tissue. The probe includes a relatively short shaft and a loop-like structure that supports electrodes or other operative elements against the bodily tissue.
摘要翻译：有助于在身体组织中产生周向损伤的探针。探针包括相对短的轴和环状结构，其支撑抵靠身体组织的电极或其它操作元件。

37. 发明授权

US6048329A Catheter distal assembly with pull wires 失效
公开(公告)号：US6048329A
公开(公告)日：2000-04-11
申请号：US960902
申请日：1997-10-30
申请人： Russell B. Thompson , Sidney D. Fleischman , Josef V. Koblish , James G. Whayne , Steven E. Levin
发明人： Russell B. Thompson , Sidney D. Fleischman , Josef V. Koblish , James G. Whayne , Steven E. Levin
IPC分类号： A61B18/14 , A61M25/00 , A61M25/01 , A61M37/00
CPC分类号： A61M25/0144 , A61B18/1492 , A61M25/0043 , A61M25/01 , A61M25/0141 , A61M25/0147 , A61M25/0152 , A61B2017/00867 , A61B2018/00065 , A61B2018/00553 , A61B2018/00577 , A61B2018/00797 , A61B2018/1407 , A61B2018/142 , A61B2018/1467 , A61B2018/1861 , A61M2025/015 , A61M2025/0161 , 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.

38. 发明授权

US5906590A Bidirectional steerable catheter with deflectable distal tip 失效
标题翻译：具有可偏转远端的双向导向导管
公开(公告)号：US5906590A
公开(公告)日：1999-05-25
申请号：US873483
申请日：1997-06-12
申请人： Kulbir Singh Hunjan , Josef V. Koblish , Thomas P. Coen
发明人： Kulbir Singh Hunjan , Josef V. Koblish , Thomas P. Coen
IPC分类号： A61M25/01 , A61M25/092 , A61M37/00
CPC分类号： A61M25/0147 , A61M25/0136
摘要： A bidirectional catheter with a deflectable tip at a distal end includes a handle at a proximal end and a tubular member extending between the tip and the handle. The handle includes a first piston member slidably mounted in a handle base with proximal ends of steering wires secured in the handle. The steering wires extend through the tubular member with respective distal ends thereof secured to circumferentially spaced portions of the distal end tip. Axial displacement of the piston member in a second direction conversely urges deflection of the distal end tip in a second direction by tensioning the other wire relative to the first wire. The piston member can include another piston member slidable in the first piston member with the proximal ends of the steering wires secured in the first mentioned piston member and the handle member, respectively, and with the other piston member supporting a proximal end of the tubular member.
摘要翻译：在远端具有可偏转尖端的双向导管包括在近端处的手柄和在尖端和手柄之间延伸的管状构件。手柄包括可滑动地安装在手柄底座中的第一活塞构件，其中固定在手柄中的操纵线的近端。操纵线延伸穿过管状构件，其相应的远端固定到远端尖端的周向间隔开的部分。活塞构件在第二方向上的轴向位移相反地通过相对于第一线张紧另一条线来促使远端尖端在第二方向上的偏转。活塞构件可以包括可在第一活塞构件中滑动的另一活塞构件，其中操纵线的近端分别固定在第一提及的活塞构件和手柄构件中，并且另一个活塞构件支撑管状构件的近端。

39. 发明授权

US5715832A Deflectable biopsy catheter 失效
公开(公告)号：US5715832A
公开(公告)日：1998-02-10
申请号：US395968
申请日：1995-02-28
申请人： Josef V. Koblish , Thomas P. Coen , George J. Klein
发明人： Josef V. Koblish , Thomas P. Coen , George J. Klein
IPC分类号： A61B10/00 , A61B10/06 , A61B17/00 , A61B17/28 , A61B18/14 , A61F2/00 , A61M25/01 , A61M25/092
CPC分类号： A61B10/06 , A61B18/1445 , A61B18/1492 , A61B10/02 , A61B2017/00044 , A61B2017/00243 , A61B2017/003 , A61B2017/2905 , A61B2017/2946 , A61B2018/00577 , A61B2018/00839 , A61B2018/126 , A61B2018/162 , A61F2210/0014 , A61M25/0147
摘要： A deflectable biopsy catheter for obtaining a tissue sample from a body cavity of a patient comprising: an axially elongated catheter shaft having proximal and distal portions respectively terminating at proximal and distal ends, the catheter shaft being sized and constructed to be advanced into a body cavity of a patient; a deflection wire coupled to the distal portion of the catheter shaft and extending within the catheter to the proximal end thereof; and a pair of biopsy jaws coupled to the distal end of the catheter shaft and having first and second opposed free cutting surfaces exposable for contact with a selected area of tissue within the patient's body cavity and movable with respect to each other to cut a tissue sample from the selected area of tissue. Schemes for obtaining samples from body cavities (e.g., the gastrointestinal tract, the heart, the intestines, the uterus, the muscles, the bile duct, and the esophagus) are disclosed. Schemes for treating tissue by ablation or by electro-coagulation are also disclosed.

40. 发明授权

US5562619A Deflectable catheter 失效
标题翻译：偏导管
公开(公告)号：US5562619A
公开(公告)日：1996-10-08
申请号：US138863
申请日：1993-10-19
申请人： Thomas F. Mirarchi , Josef V. Koblish , Kulbir S. Hunjan , Craig R. Kline , Thomas H. Peterson
发明人： Thomas F. Mirarchi , Josef V. Koblish , Kulbir S. Hunjan , Craig R. Kline , Thomas H. Peterson
IPC分类号： A61B5/0408 , A61B5/0478 , A61B5/0492 , A61B17/00 , A61B17/22 , A61B17/221 , A61B17/28 , A61B17/30 , A61B17/32 , A61B18/14 , A61B18/24 , A61F2/958 , A61M5/14 , A61M25/01 , A61M25/092 , A61M25/00 , A61B17/36
CPC分类号： A61M25/0136 , A61B17/221 , A61B17/2909 , A61B17/32056 , A61M25/0133 , A61M25/0147 , A61B18/24 , A61B2017/00849 , A61B2017/00853 , A61B2017/22038 , A61B2017/22051 , A61B2017/2212 , A61B2017/2215 , A61B2017/2912 , A61B2017/292 , A61B2017/301 , A61B2018/1407 , A61M2025/015 , A61M25/10
摘要： For achieving, e.g., an improved electrophysiology catheter for examination of the heart, or a catheter accessing the brain, the invention, in one aspect, features an elongated wound wire coil extending through the hollow catheter body of a steerable catheter, the coil constructed and arranged to enable the catheter body to withstand reactive compressive load without distortion during application of tension on the pull wire and to transmit torque from the proximal to the distal tip portion of the catheter to enhance fidelity of rotational positioning of the distal tip in response to rotational orientation of the proximal portion of the catheter. The coil is shown in frictional torque-transmitting relationship with the interior of the hollow shaft substantially along the common length of the catheter body when the catheter is bent. Steerable catheters with augmented throw for one-handed operation and important improvements in construction features are also shown.
摘要翻译：为了实现例如用于检查心脏的改进的电生理学导管或进入大脑的导管，在一个方面，本发明的特征在于延伸穿过可导向导管的中空导管体的细长缠绕线圈，线圈构造和布置成使得导管体能够在拉线处施加张力的同时承受反作用的压缩载荷而不会变形，并且从导管的近端到远端部分传递扭矩，以提高响应于旋转的远侧末端的旋转定位的保真度导管的近端部分的取向。当导管弯曲时，线圈以与导管主体的公共长度基本上沿着空心轴的内部的摩擦转矩传递关系示出。还显示了具有单手操作的增大的导向导管和构造特征的重要改进。

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