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1. 发明申请

US20120302935A1 DEVICES AND METHODS FOR FORMING A FISTULA 有权
标题翻译：用于形成FISTULA的装置和方法
公开(公告)号：US20120302935A1
公开(公告)日：2012-11-29
申请号：US13298169
申请日：2011-11-16
申请人： Gary H. MILLER , Adam L. Berman , William E. Cohn , Dana R. Mester , Damian A. Jelich
发明人： Gary H. MILLER , Adam L. Berman , William E. Cohn , Dana R. Mester , Damian A. Jelich
IPC分类号： A61M1/00
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。

2. 发明授权

US09017323B2 Devices and methods for forming a fistula 有权
标题翻译：用于形成瘘的装置和方法
公开(公告)号：US09017323B2
公开(公告)日：2015-04-28
申请号：US13298169
申请日：2011-11-16
申请人： Gary H. Miller , Adam L. Berman , William E. Cohn , Dana R. Mester , Damian A. Jelich
发明人： Gary H. Miller , Adam L. Berman , William E. Cohn , Dana R. Mester , Damian A. Jelich
IPC分类号： A61B18/00 , A61M1/36 , A61B17/3207 , A61B18/14 , A61B17/00 , A61B19/00
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。

3. 发明授权

US07238179B2 Apparatus and method for guided ablation treatment 失效
标题翻译：引导消融治疗的装置和方法
公开(公告)号：US07238179B2
公开(公告)日：2007-07-03
申请号：US11102091
申请日：2005-04-08
申请人： Gregory G. Brucker , Adam L. Berman , Damian A. Jelich , Dana R. Mester , Robert W. Clapp
发明人： Gregory G. Brucker , Adam L. Berman , Damian A. Jelich , Dana R. Mester , Robert W. Clapp
IPC分类号： A61B18/18 , A61B18/20
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 forming a lesion in tissue along a desired ablation path with treating a body tissue in situ (e.g., an atrial tissue of a heart to treat) atrial fibrillation include a lesion formation tool including 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 guide member includes a track. A carriage is slidably received with the track. The ablation member is secured to the carriage for movement therewith. The guide member includes a visualization component.
摘要翻译：一种用于沿着期望的消融路径形成组织中的病变的方法和装置，其中原位处理身体组织（例如，心脏的心房组织以治疗）心房颤动包括病变形成工具，其包括抵靠心脏表面定位。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在纵向路径中移动。引导构件包括轨道。滑轨可滑动地接收轨道。消融构件被固定到滑架以与其一起运动。引导构件包括可视化部件。

4. 发明授权

US07232437B2 Assessment of lesion transmurality 失效
标题翻译：病变透壁性评估
公开(公告)号：US07232437B2
公开(公告)日：2007-06-19
申请号：US11133900
申请日：2005-05-19
申请人： Adam L. Berman , Gregory G. Brucker , Robert H. Svenson
发明人： Adam L. Berman , Gregory G. Brucker , Robert H. Svenson
IPC分类号： A61B18/14
CPC分类号： A61B18/22 , A61B18/20 , A61B18/24 , A61B2017/00026 , A61B2017/00243 , A61B2017/00247 , A61B2017/306 , A61B2018/00029 , 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. Transmurality can be assessed to approximate a location of non-transmurality in a formed lesion.
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在纵向路径中移动。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。透视性可以被评估以在形成的病变中近似非透壁的位置。

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