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51. 发明授权

US07806829B2 System and method for navigating an ultrasound catheter to image a beating heart 有权
标题翻译：用于导航超声导管以拍打心跳的系统和方法
公开(公告)号：US07806829B2
公开(公告)日：2010-10-05
申请号：US11044344
申请日：2005-01-27
申请人： John A. Hauck
发明人： John A. Hauck
IPC分类号： A61B5/05 , A61B8/14
CPC分类号： A61B8/0841 , A61B5/0422 , A61B5/1076 , A61B5/6852 , A61B8/0883 , A61B8/12 , A61B8/4254 , A61B8/463 , A61B8/466 , A61B8/5223 , A61B8/5253 , A61B8/5292 , A61B34/20 , A61B34/25 , A61B90/36 , A61B2017/00243 , A61B2034/105 , A61B2034/2051 , A61B2034/2053 , A61B2090/367 , A61B2090/378 , A61B2090/3983 , A61B2562/0209 , A61B2562/046 , A61N1/056 , A61N1/3625 , A61N1/37 , A61N1/3702
摘要： Catheter navigation is coupled with ultrasound imaging to yield a context map showing the location on a heart of the ultrasonically imaged frame.
摘要翻译：导管导航与超声成像相结合，产生显示超声成像帧的心脏位置的上下文映射。

52. 发明授权

US07632265B2 Radio frequency ablation servo catheter and method 有权
标题翻译：射频消融伺服导管及方法
公开(公告)号：US07632265B2
公开(公告)日：2009-12-15
申请号：US11139908
申请日：2005-05-27
申请人： John A. Hauck , Eric Olson , Jeff A. Schweitzer , Jeff Burrell , Mark T. Johnson
发明人： John A. Hauck , Eric Olson , Jeff A. Schweitzer , Jeff Burrell , Mark T. Johnson
IPC分类号： A61B18/18
CPC分类号： A61B5/06 , A61B18/1492 , A61B34/20 , A61B2034/105 , A61B2034/2051 , A61B2034/301
摘要： A system that interfaces with a workstation endocardial mapping system allows for the rapid and successful ablation of cardiac tissue. The system allows a physician to see a representation of the physical location of a catheter in a representation of an anatomic model of the patient's heart. The workstation is the primary interface with the physician. A servo catheter having pull wires and pull rings for guidance and a servo catheter control system are interfaced with the workstation. Servo catheter control software may run on the workstation. The servo catheter is coupled to an RF generator. The physician locates a site for ablation therapy and confirms the location of the catheter. Once the catheter is located at the desired ablation site, the physician activates the RF generator to deliver the therapy.
摘要翻译：与工作站心内膜贴图系统接口的系统允许快速且成功地消除心脏组织。该系统允许医师在患者心脏的解剖模型的表示中看到导管的物理位置的表示。工作站是与医师的主要接口。具有用于引导的拉线和拉环的伺服导管和伺服导管控制系统与工作站接口。伺服导管控制软件可以在工作站上运行。伺服导管连接到RF发生器。医生定位一个消融治疗的部位，并确认导管的位置。一旦导管位于所需的消融部位，医师激活RF发生器来传递治疗。

53. 发明申请

US20080161681A1 Navigational reference dislodgement detection method & system 有权
标题翻译：导航参考检测方法与系统
公开(公告)号：US20080161681A1
公开(公告)日：2008-07-03
申请号：US11647277
申请日：2006-12-29
申请人： John A. Hauck
发明人： John A. Hauck
IPC分类号： A61B5/05
CPC分类号： A61B5/06 , A61B5/042 , A61B5/063 , A61B5/7221 , A61B34/20 , A61B2034/2051 , A61B2034/2053 , A61B2034/2072
摘要： A method of tracking a position of a catheter within a patient includes securing a navigational reference at a reference location within the patient, defining the reference location as the origin of a coordinate system, determining a location of an electrode moving within the patient relative to that coordinate system, monitoring for a dislodgement of the navigational reference from the initial reference location, for example by measuring the navigational reference relative to a far field reference outside the patient's body, and generating a signal indicating that the navigational reference has dislodged from the reference location. Upon dislodgement, a user may be provided with guidance to help reposition and secure the navigational reference to the initial reference location, or the navigational reference may be automatically repositioned and secured to the initial reference location. Alternatively, a reference adjustment may be calculated to compensate for the changed reference point/origin.
摘要翻译：跟踪患者中导管位置的方法包括：将参考位置固定在患者内的参考位置，将参考位置定义为坐标系的原点，确定在患者体内相对于坐标系移动的电极的位置协调系统，例如通过测量与病人身体之外的远场参考相关的导航参考，以及产生指示导航参考已经从参考位置移除的信号来监测导航参考从初始参考位置的移除。在移动时，可以向用户提供指导以帮助重新定位并确保对初始参考位置的导航参考，或者导航参考可以被自动重新定位并且被固定到初始参考位置。或者，可以计算参考调整以补偿改变的参考点/原点。

54. 发明申请

US20080161669A1 Cardiac Navigation System Including Electrode Array for Use Therewith 有权
标题翻译：包括使用的电极阵列的心脏导航系统
公开(公告)号：US20080161669A1
公开(公告)日：2008-07-03
申请号：US11618676
申请日：2006-12-29
申请人： John A. Hauck , James C. Baker
发明人： John A. Hauck , James C. Baker
IPC分类号： A61B5/0402
CPC分类号： A61B5/042 , A61B5/1076
摘要： A cardiac navigation system including a mapping catheter, a control system coupled to the mapping catheter, an electrode array, and means for driving an electrical current across the electrode array. The mapping catheter includes means for sensing an electrical field. The control system includes means for receiving sensed signals from the mapping catheter. The cardiac navigation system includes at least one electrode array including means for providing an electrical field across three axes. The three axes are approximately orthogonal with respect to one another. The means for driving an electrical current across the three axes includes means for providing a plurality of individual current sources to the electrode array. As such, the cardiac navigation system presented provides a more uniform sheet of current across an area of interest, the mapping catheter senses the electrical field across the area of interest, and the control system determines a three-dimensional location of the mapping catheter based on the sensed electrical field.
摘要翻译：包括映射导管，耦合到映射导管的控制系统，电极阵列以及用于驱动穿过电极阵列的电流的装置的心导航系统。映射导管包括用于感测电场的装置。控制系统包括用于从映射导管接收感测信号的装置。心脏导航系统包括至少一个电极阵列，其包括用于在三个轴上提供电场的装置。三个轴彼此大致正交。用于驱动横跨三个轴的电流的装置包括用于向电极阵列提供多个单独的电流源的装置。因此，所呈现的心脏导航系统在感兴趣区域提供更均匀的电流片，映射导管感测感兴趣区域上的电场，并且控制系统基于以下方式确定映射导管的三维位置：感应电场。

55. 发明授权

US5027813A Rate responsive pacemaker apparatus having an electrode interface sensor 失效
标题翻译：具有电极接口传感器的速率响应起搏器装置
公开(公告)号：US5027813A
公开(公告)日：1991-07-02
申请号：US487918
申请日：1990-03-05
申请人： Brian D. Pederson , John A. Hauck
发明人： Brian D. Pederson , John A. Hauck
IPC分类号： A61N1/365
CPC分类号： A61N1/36521
摘要： A variable rate cardiac pacer apparatus is responsive to the physical activity of the patient. A source of alternating current carrier signals of a predetermined frequency is coupled to the pacer housing. At least one sensing electrode is coupled to the carrier signals. The sensing electrode and the pacer housing are structured and arranged to operate as a pair of interface sensing electrodes. A sense amplifier apparatus is coupled to the sensing electrodes for receiving and amplifying modulated electrical signals developed across the sensing electrodes. A demodulator circuit apparatus is structured and arranged to receive the amplified modulated carrier signal which is proportional to the impedance field around the sensing electrode. The frequency of the demodulated signal is proportional to the patient's rate of movement. A signal processing apparatus receives the demodulated signal and provides a processed signal proportional to impedance changes sensed at the interface. A rate control apparatus determines the rate at which the heart stimulating pulse will be generated in response to the processed signal.
摘要翻译：可变率心脏起搏器装置响应于患者的身体活动。具有预定频率的交流载波信号的源耦合到起搏器壳体。至少一个感测电极耦合到载波信号。感测电极和起搏器壳体被构造和布置成作为一对接口感测电极工作。感测放大器装置耦合到感测电极，用于接收和放大在感测电极两端产生的经调制的电信号。解调器电路装置被构造和布置成接收与感测电极周围的阻抗场成比例的放大的调制载波信号。解调信号的频率与患者的运动速率成比例。信号处理装置接收解调信号，并提供与界面处感测到的阻抗变化成比例的处理信号。速率控制装置响应于处理的信号确定将产生心脏刺激脉冲的速率。

56. 发明授权

US08641664B2 Robotic catheter system with dynamic response 有权
标题翻译：机器人导管系统具有动态响应
公开(公告)号：US08641664B2
公开(公告)日：2014-02-04
申请号：US12933065
申请日：2009-03-27
申请人： Mark B. Kirschenman , John A. Hauck , Andrew P. Skypeck
发明人： Mark B. Kirschenman , John A. Hauck , Andrew P. Skypeck
IPC分类号： A61M31/00 , A61M37/00
CPC分类号： A61B34/35 , A61B34/30 , A61B34/71 , A61B90/10 , A61B2034/301 , A61B2090/064 , A61M25/0067
摘要： An apparatus for maintaining a robotic catheter system in a responsive state includes a catheter, a plurality of linear translatable control elements, and a controller. In an embodiment, the catheter includes a proximal portion, a distal portion, and at least two steering wires. The steering wires may be configured at one end to control the movement of at least a portion of the distal portion of the catheter and at the other end for connection to a control member. In an embodiment, each control element may be configured to engage or interface with a respective control member, and the controller may be configured to measure a force exerted on at least one control member by a respective control element and further configured to linearly translate the control element to substantially maintain a force within a predetermined range.
摘要翻译：用于将机器人导管系统维持在响应状态的装置包括导管，多个线性可平移控制元件和控制器。在一个实施例中，导管包括近端部分，远侧部分和至少两个操纵线。操纵线可以被配置在一端以控制导管远端部分的至少一部分的移动，另一端用于连接到控制构件。在一个实施例中，每个控制元件可以被配置为与相应的控制构件接合或接合，并且控制器可以被配置成测量由相应的控制元件施加在至少一个控制构件上的力，并进一步被配置成线性地平移控制以将力保持在预定范围内。

57. 发明授权

US08641663B2 Robotic catheter system input device 有权
公开(公告)号：US08641663B2
公开(公告)日：2014-02-04
申请号：US12933063
申请日：2009-03-27
申请人： Mark B. Kirschenman , John A. Hauck , Jane J. Song
发明人： Mark B. Kirschenman , John A. Hauck , Jane J. Song
IPC分类号： A61M31/00 , A61M37/00 , A61M5/20
CPC分类号： A61B19/2203 , A61B17/2909 , A61B34/30 , A61B34/37 , A61B34/71 , A61B2034/2051 , A61B2034/301 , A61B2034/742
摘要： An input device for a robotic medical system includes a handle configured to be rotatable about a center axis, and to be longitudinally displaceable along the center axis. The input device also includes a deflection control element disposed on the handle and configured to selectively control deflection of the distal end of a flexible medical instrument electrically coupled to the input device. Longitudinal displacement of the handle may cause or result in a corresponding longitudinal motion or deflection of the flexible medical instrument. Rotation of the handle may cause or result in a corresponding rotation of the deflection plane. Longitudinal displacement and rotation of the handle may be detected or sensed electronically.

58. 发明授权

US08551084B2 Radio frequency ablation servo catheter and method 有权
公开(公告)号：US08551084B2
公开(公告)日：2013-10-08
申请号：US13532266
申请日：2012-06-25
申请人： John A. Hauck , Eric Olson , Jeff A. Schweitzer , Jeff Burell , Mark T. Johnson
发明人： John A. Hauck , Eric Olson , Jeff A. Schweitzer , Jeff Burell , Mark T. Johnson
IPC分类号： A61B18/18
CPC分类号： A61B5/06 , A61B18/1492 , A61B34/20 , A61B2034/105 , A61B2034/2051 , A61B2034/301
摘要： A system that interfaces with a workstation endocardial mapping system allows for the rapid and successful ablation of cardiac tissue. The system allows a physician to see a representation of the physical location of a catheter in a representation of an anatomic model of the patient's heart. The workstation is the primary interface with the physician. A servo catheter having pull wires and pull rings for guidance and a servo catheter control system are interfaced with the workstation. Servo catheter control software may run on the workstation. The servo catheter is coupled to an RF generator. The physician locates a site for ablation therapy and confirms the location of the catheter. Once the catheter is located at the desired ablation site, the physician activates the RF generator to deliver the therapy.

59. 发明申请

US20130211295A1 PORTABLE SYSTEM FOR ASSISTING BODY MOVEMENT 有权
标题翻译：用于辅助身体运动的便利系统
公开(公告)号：US20130211295A1
公开(公告)日：2013-08-15
申请号：US13748322
申请日：2013-01-23
申请人： Douglas E. Johnson , John A. Hauck , Odd Osland , Mark T. Johnson
发明人： Douglas E. Johnson , John A. Hauck , Odd Osland , Mark T. Johnson
IPC分类号： A61H9/00
CPC分类号： A61D3/00 , A61F5/24 , A61H3/00 , A61H3/008 , A61H3/04 , A61H9/0057 , A61H9/0078 , A61H2201/1616 , A61H2201/1621 , A61H2201/163 , A61H2201/1642 , A61H2201/165 , A61H2201/5071 , A61H2203/03 , A61H2205/08 , A61H2205/10 , A61H2209/00 , A63B21/00181 , A63B22/02 , A63B22/20 , A63B69/0064 , A63B71/0009 , A63B2022/0094 , A63B2208/05 , A63B2208/14
摘要： The present invention provides a differential pressure body suit with external support against body suit migration. In its preferred embodiment, such body suit may comprise a close-fitting, multi-layered suit sealed against a mammal's skin to contain the differential pressure, or a looser-fitting suit that bends at the mammal's joints with minimal force. External support means include either fixed or movable mechanical supports attached to the body suit, extraordinary air pressure levels for making the body suit rigid, or exoskeletons attached to the body suit. A cyclic control system can turn the differential pressure condition within the body suit on and off on a selective basis to accommodate the movement of the legs of the mammal. The pressurization reduces the weight of the body to greater or lesser extents, and offloads the weight to the ground through the external support means.
摘要翻译：本发明提供了一种具有抵抗身体护套迁移的外部支撑的差压身体套装。在其优选实施例中，这种身体套装可以包括紧密配合的多层衣服，其密封抵抗哺乳动物的皮肤以容纳压差，或者以最小的力在哺乳动物的关节处弯曲的较松散的衣服。外部支撑装置包括固定或可移动的机械支撑件，其附接到身体套装，用于使身体适合刚性的非凡空气压力水平或附着于身体套装的外骨骼。循环控制系统可以选择性地转动身体套装内的压差状态，以适应哺乳动物腿部的运动。加压将身体的重量降低到更大或更小的程度，并通过外部支撑装置将重物卸载到地面上。

60. 发明申请

US20120165702A1 CARDIAC TISSUE ELASTICITY SENSING 有权
标题翻译：心脏组织弹性感测
公开(公告)号：US20120165702A1
公开(公告)日：2012-06-28
申请号：US13413235
申请日：2012-03-06
申请人： John A. Hauck
发明人： John A. Hauck
IPC分类号： A61B5/103
CPC分类号： A61B18/1233 , A61B5/0053 , A61B5/02007 , A61B5/103 , A61B5/441 , A61B5/4519 , A61B5/6852 , A61B5/6885 , A61B18/14 , A61B18/1492 , A61B2034/2051 , A61B2090/062 , A61B2090/064
摘要： A system and method are provided for assessing the compliance of internal patient tissue for purposes of catheter guidance and/or ablation procedures. Specifically, the system/method provides for probing internal patient tissue in order to obtain force and/or tissue displacement measurements. These measurements are utilized to generate an indication of tissue elasticity. In one exemplary embodiment, the indication of elasticity is correlated with an image of the internal tissue area and an output of this image including elasticity indications is displayed for a user.
摘要翻译：提供了一种用于评估用于导管引导和/或消融过程的内部患者组织的依从性的系统和方法。具体地，系统/方法提供了探测内部患者组织以获得力和/或组织位移测量。这些测量用于产生组织弹性的指示。在一个示例性实施例中，弹性指示与内部组织区域的图像相关，并且包括弹性指示的该图像的输出被显示给用户。

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