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1. 发明申请

WO2006050011A1 APPARATUS AND METHOD FOR GUIDED ABLATION TREATMENT 审中-公开
标题翻译：用于引导治疗的装置和方法
公开(公告)号：WO2006050011A1
公开(公告)日：2006-05-11
申请号：PCT/US2005/038715
申请日：2005-10-25
申请人： MEDICAL CV, INC. , BRUCKER, Gregory, G. , BERMAN, Adam, L. , JELICH, Damian, A. , MESTER, Dana, R. , CLAPP, Robert, W.
发明人： BRUCKER, Gregory, G. , BERMAN, Adam, L. , JELICH, Damian, A. , MESTER, Dana, R. , CLAPP, Robert, W.
IPC分类号： A61B18/14 , A61B17/32 , A61N5/06 , A61B18/18
CPC分类号： A61B18/22 , A61B18/20 , A61B18/24 , A61B2017/00026 , A61B2017/00243 , A61B2017/00247 , A61B2017/306 , A61B2018/00196 , A61B2018/00392 , A61B2018/00636
摘要： A method and apparatus for treating a body tissue in situ (e.g., an atrial tissue of a heart to treat) atrial fibrillation include a lesion formation tool is positioned against the heart surface. The lesion formation tool includes a guide member having a tissue-opposing surface for placement against a heart surface. An ablation member is coupled to the guide member to move in a longitudinal path relative to the guide member. The ablation member has an ablation element for directing ablation energy in an emitting direction away from the tissue-opposing surface. The guide member may be flexible to adjust a shape of the guide member for the longitudinal path to approximate the desired ablation path while maintaining the tissue-opposing surface against the heart surface. In one embodiment, the ablation member includes at least one radiation-emitting member disposed to travel in the longitudinal pathway. In another embodiment, the guide member has a plurality of longitudinally spaced apart tissue attachment locations with at least two being separately activated at the selection of an operator to be attached and unattached to an opposing tissue surface. Various means are described for the attachment including vacuum and mechanical attachment. The guide member may have a steering mechanism to remotely manipulate the shape of the guide member.
摘要翻译：一种用于原位处理身体组织（例如，心脏的心房组织以治疗）心房颤动的方法和装置包括将病变形成工具定位在心脏表面上。损伤形成工具包括具有用于放置在心脏表面上的组织相对表面的引导构件。消融构件联接到引导构件以相对于引导构件沿纵向路径移动。消融构件具有消融元件，用于将发射方向上的消融能量远离组织相对表面。引导构件可以是柔性的，以调节用于纵向路径的引导构件的形状以接近所需的消融路径，同时将组织相对表面保持抵靠心脏表面。在一个实施例中，消融构件包括设置成在纵向通路中行进的至少一个辐射发射构件。在另一个实施例中，引导构件具有多个纵向间隔开的组织附接位置，其中至少两个组织附接位置在选择要附接并未附接到相对组织表面的操作者处被单独激活。描述了用于附件的各种装置，包括真空和机械附件。引导构件可以具有用于远程地操纵引导构件的形状的转向机构。

2. 发明申请

WO2008086287A2 ANASTOMOSIS SYSTEMS AND METHODS 审中-公开
标题翻译： ANASTOMOSIS系统和方法
公开(公告)号：WO2008086287A2
公开(公告)日：2008-07-17
申请号：PCT/US2008/050409
申请日：2008-01-07
申请人： MEDTRONIC, INC. , SANDSTROM, Jeffrey D. , MEYER, Eric A. , JELICH, Damian A. , REETZ, Robert H. , BRISCOE, Roderick E. , BILITZ, Mark R.
发明人： SANDSTROM, Jeffrey D. , MEYER, Eric A. , JELICH, Damian A. , REETZ, Robert H. , BRISCOE, Roderick E. , BILITZ, Mark R.
IPC分类号： A61B17/03 , A61B17/068
CPC分类号： A61B17/115 , A61B17/0644 , A61B17/1155 , A61B2017/00243 , A61B2017/00867 , A61B2017/0647 , A61B2017/1107 , A61B2017/1135
摘要： A surgical connection apparatus including a plurality of delivery assemblies, a housing assembly, and a drive mechanism. The delivery assemblies each include an outer member, an inner member, and optionally a retention member. The inner member is disposed within the outer member, terminates at a distal tip and forms an internal passage that is open at a window. The delivery assemblies releasably retain a self-closing clip. The housing assembly maintains the delivery assemblies in a generally circular arrangement. The drive mechanism operates to transition the delivery assembly in releasing a self-closing clip from the corresponding delivery assembly. With this construction, a plurality of self-closing clips can be simultaneously deployed in a manner effectuating, for example, an end-to-side anastomosis.
摘要翻译：一种外科连接装置，包括多个输送组件，壳体组件和驱动机构。输送组件各自包括外部构件，内部构件和可选地保持构件。内部构件设置在外部构件中，终止于远侧末端并形成在窗口处打开的内部通道。输送组件可释放地保持自闭合夹。外壳组件将输送组件保持为大致圆形的布置。驱动机构用于在从相应的输送组件释放自闭合夹子的过程中转换输送组件。利用这种结构，可以以例如端对侧吻合的方式同时展开多个自闭合夹。

3. 发明申请

WO2012068273A1 DEVICES AND METHODS FOR FORMING A FISTULA 审中-公开
标题翻译：用于形成FISTULA的装置和方法
公开(公告)号：WO2012068273A1
公开(公告)日：2012-05-24
申请号：PCT/US2011/061026
申请日：2011-11-16
申请人： TVA MEDICAL, INC. , MILLER, Gary, H. , BERMAN, Adam, L. , COHN, William, E. , MESTER, Dana, R. , JELICH, Damian, A.
发明人： MILLER, Gary, H. , BERMAN, Adam, L. , COHN, William, E. , MESTER, Dana, R. , JELICH, Damian, A.
IPC分类号： A61B17/11
CPC分类号： A61B18/1492 , A61B17/320016 , A61B17/320725 , A61B18/16 , A61B2017/00778 , A61B2017/00876 , A61B2017/22095 , A61B2017/320791 , A61B2018/00083 , A61B2018/00107 , A61B2018/00172 , A61B2018/00404 , A61B2018/00577 , A61B2018/00625 , A61B2018/1253 , A61B2018/144 , A61B2090/3925 , A61B2090/3966 , A61M1/3655
摘要： Described here are devices, systems and methods for forming a fistula between two blood vessels. Generally, the systems may comprise a first catheter which may comprise a fistula-forming element. The fistula-forming element may comprise one or more electrodes, mechanical cutting elements, laser sources, or combinations thereof, and may be used to assist in fistula formation. In some instances, a system may comprise a second catheter, which may comprise a fistula-forming element. One or more of the catheters may comprise one or more markers, magnetic alignment elements, and/or one shape-changing elements.
摘要翻译：这里描述了用于在两个血管之间形成瘘的装置，系统和方法。通常，系统可以包括可包括瘘形成元件的第一导管。瘘形成元件可以包括一个或多个电极，机械切割元件，激光源或其组合，并且可以用于辅助瘘形成。在一些情况下，系统可以包括第二导管，其可以包括瘘形成元件。一个或多个导管可以包括一个或多个标记，磁性对准元件和/或一个形状变化元件。

4. 发明申请

WO2008086287A3 ANASTOMOSIS SYSTEMS AND METHODS 审中-公开
标题翻译： ANASTOMOSIS系统和方法
公开(公告)号：WO2008086287A3
公开(公告)日：2009-01-08
申请号：PCT/US2008050409
申请日：2008-01-07
申请人： MEDTRONIC INC , SANDSTROM JEFFREY D , MEYER ERIC A , JELICH DAMIAN A , REETZ ROBERT H , BRISCOE RODERICK E , BILITZ MARK R
发明人： SANDSTROM JEFFREY D , MEYER ERIC A , JELICH DAMIAN A , REETZ ROBERT H , BRISCOE RODERICK E , BILITZ MARK R
IPC分类号： A61B17/115 , A61B17/064
CPC分类号： A61B17/115 , A61B17/0644 , A61B17/1155 , A61B2017/00243 , A61B2017/00867 , A61B2017/0647 , A61B2017/1107 , A61B2017/1135
摘要： A surgical connection apparatus (30) including a plurality of delivery assemblies (32), a housing assembly (36, and a drive mechanism (34). The delivery assemblies each include an outer member (40), an inner member (42), an optionally a retention member (632). The inner member is disposed within the outer member, terminates at a distal tip and forms an internal passage (78) that is open at a window (80). The delivery assemblies releasably retain a self-closing clip (44). The housing assembly maintains the delivery assemblies in a generally circular arangement. The drive mechanism operates to transition the delivery assembly in releasing a self-closing clip from the corresponding delivery assembly. With this construction, a plurality of self-closing clips can be simultaneously deployed in a manner effectuating, for example, an end-to-side anastomosis.
摘要翻译：一种外科连接装置（30），包括多个输送组件（32），壳体组件（36）和驱动机构（34），所述输送组件包括外部构件（40），内部构件（42）内部构件设置在外部构件内，终止于远侧末端并形成在窗口（80）处开口的内部通道（78），所述输送组件可释放地保持自固定部件（632）封闭夹具（44），壳体组件将输送组件保持在大致圆形的布置中，驱动机构在从相应的输送组件释放自闭合夹子的过程中操作以转移输送组件，利用这种结构，可以以实现例如端对侧吻合的方式同时部署闭合夹。

5. 发明申请

WO2009108464A1 SURGICAL FASTENING CLIPS, SYSTEMS AND METHODS FOR PROXIMATING TISSUE 审中-公开
标题翻译：外科急救夹具，系统和方法用于接受组织
公开(公告)号：WO2009108464A1
公开(公告)日：2009-09-03
申请号：PCT/US2009/032952
申请日：2009-02-03
申请人： MEDTRONIC , INC. , CLAGUE, Cynthia, T. , STEWART, Mark, T. , GREEN, Michael, M. , ROTHSTEIN, Paul, T. , JELICH, Damian, A. , NAYAK, Asha, S. , TORRIANNI, Mark, W. , COPPIN, Chris, M. , HUYNH, Rany , MEYER, Eric, A. , LIDDICOAT, John, R. , LASKE, Timothy, G.
发明人： CLAGUE, Cynthia, T. , STEWART, Mark, T. , GREEN, Michael, M. , ROTHSTEIN, Paul, T. , JELICH, Damian, A. , NAYAK, Asha, S. , TORRIANNI, Mark, W. , COPPIN, Chris, M. , HUYNH, Rany , MEYER, Eric, A. , LIDDICOAT, John, R. , LASKE, Timothy, G.
IPC分类号： A61B17/00 , A61B17/08 , A61B17/064
CPC分类号： A61B17/0057 , A61B17/068 , A61B2017/00243 , A61B2017/00575 , A61B2017/00623 , A61B2017/00867 , A61B2017/0649 , A61B2017/081
摘要： A surgical fastener clip (20) for proximating tissue, the clip providing an undeflected state in which the clip comprises a center portion (22), a, first leg (24), and a second leg (26). The center portion has a perimeter (28) defining a circle-like shape. The legs (24,26) project outwardly relative to the perimeter from a point of departure to a tip (30,32). Extension of each of the legs relative to the perimeter defines an identical wind direction that is either clockwise or counterclockwise. The clip optionally includes a linear cross-member (60) extending across the perimeter (28). The surgical clip can be formed by a wire (70) that is partially wound onto itself in a spiral-like fashion, with the center portion (22) and the legs (24,26) being co-planar in the undeflected state. During use, the clip is rotated, drawing tissue into the center portion. Systems incorporating the clip are also provided.
摘要翻译：一种用于接近组织的手术紧固夹（20），所述夹提供未偏转状态，其中夹具包括中心部分（22），第一腿部（24）和第二腿部（26）。中心部分具有限定圆形形状的周边（28）。腿部（24,26）从出发点向尖端（30,32）相对于周边向外突出。每个腿相对于周边的延伸限定了顺时针或逆时针方向相同的风向。夹子可选地包括横跨周边（28）延伸的线性横向构件（60）。手术夹可以由线（70）形成，线（70）以螺旋状的方式部分地缠绕在自身上，中心部分（22）和腿部（24,26）在未偏转状态下是共面的。在使用过程中，夹子旋转，将纸巾拉入中心部分。还提供了结合夹子的系统。

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