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1. 发明申请

US20050033285A1 Surgical method and apparatus for positioning a diagnostic or therapeutic element within the body 有权
标题翻译：用于将诊断或治疗元件定位在体内的手术方法和装置
公开(公告)号：US20050033285A1
公开(公告)日：2005-02-10
申请号：US10930082
申请日：2004-08-30
申请人： David Swanson , Sidney Fleischman , Josef Koblish , Russell Thompson , James Whayne , Thomas Jenkins , Edward Snyder
发明人： David Swanson , Sidney Fleischman , Josef Koblish , Russell Thompson , James Whayne , Thomas Jenkins , Edward Snyder
IPC分类号： A61B18/14 , A61N1/05
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.
摘要翻译：一种用于将诊断或治疗元件定位在体内的手术方法和装置。该装置可以是基于导管的或包括相对短的轴的探针。

2. 发明申请

US20050015083A1 Loop structures for positioning a diagnostic or therapeutic element on the epicardium or other organ surface 有权
标题翻译：用于将诊断或治疗元件定位在心外膜或其他器官表面上的环结构
公开(公告)号：US20050015083A1
公开(公告)日：2005-01-20
申请号：US10776010
申请日：2004-02-09
申请人： Josef Koblish , Russell Thompson , James Whayne , David Swanson
发明人： Josef Koblish , Russell Thompson , James Whayne , David Swanson
IPC分类号： A61B18/14 , A61N1/05
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： Loop structures for positioning diagnostic an therapeutic elements on the epicardium or other organ surface.
摘要翻译：用于定位诊断心外膜或其他器官表面上的治疗元件的环结构。

3. 发明申请

US20050171536A1 Apparatus for mapping and coagulating soft tissue in or around body orifices 有权
公开(公告)号：US20050171536A1
公开(公告)日：2005-08-04
申请号：US11098189
申请日：2005-04-04
申请人： Huy Phan , David Swanson , Josef Koblish , Russell Thompson , Thomas Jenkins
发明人： Huy Phan , David Swanson , Josef Koblish , Russell Thompson , Thomas Jenkins
IPC分类号： A61B18/20 , A61B18/00 , A61B18/12 , A61B18/14 , A61B18/18 , A61M25/04 , A61B5/04
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.

4. 发明申请

US20070129721A1 Apparatus For Mapping And Coagulating Soft Tissue In Or Around Body Orifices 有权
标题翻译：用于在人体孔内或周围绘制和凝结软组织的装置
公开(公告)号：US20070129721A1
公开(公告)日：2007-06-07
申请号：US11625311
申请日：2007-01-20
申请人： Huy Phan , David Swanson , Josef Koblish , Russell Thompson , Thomas Jenkins
发明人： Huy Phan , David Swanson , Josef Koblish , Russell Thompson , Thomas Jenkins
IPC分类号： A61B18/14 , A61B5/04
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

5. 发明申请

US20060189975A1 Structures For Supporting Multiple Electrode Elements 有权
标题翻译：支持多个电极元件的结构
公开(公告)号：US20060189975A1
公开(公告)日：2006-08-24
申请号：US11278569
申请日：2006-04-04
申请人： James Whayne , Sidney Fleischman , Russell Thompson , David Swanson , Yi Yang
发明人： James Whayne , Sidney Fleischman , Russell Thompson , David Swanson , Yi Yang
IPC分类号： A61B18/18
CPC分类号： A61B18/1492 , A61B2018/00011 , A61B2018/00065 , A61B2018/00797 , A61B2018/00815 , A61B2018/00821 , A61B2018/1407 , A61B2018/1425 , A61B2218/002 , A61M25/0144 , A61M25/0147 , A61M2025/0163
摘要： A catheter assembly comprises a first branch body having a first axis, a second branch body extending in a non-parallel relationship with respect to the first axis, and at least one electrode carried by the second branch body. In use, the first branch body can be located within a pulmonary vein within the left atrium, while the electrode carried by the second branch body is located in contact with endocardial tissue outside the pulmonary vein. Ablation energy can be transmitted from the electrode to contacted endocardial tissue while the first branch body is located within the pulmonary vein.
摘要翻译：导管组件包括具有第一轴线的第一分支本体，相对于第一轴线以非平行关系延伸的第二分支体，以及由第二分支体承载的至少一个电极。在使用中，第一分支体可以位于左心房内的肺静脉内，而由第二分支体携带的电极位于与肺静脉外的心内膜组织接触。当第一分支体位于肺静脉内时，消融能量可以从电极传递到接触的心内膜组织。

6. 发明申请

US20050143727A1 Surgical probe for supporting inflatable therapeutic devices in contact with tissue in or around body orifices and within tumors 审中-公开
标题翻译：用于支撑可膨胀的治疗装置的手术探针，其与身体孔内或肿瘤周围的组织接触
公开(公告)号：US20050143727A1
公开(公告)日：2005-06-30
申请号：US11027622
申请日：2004-12-30
申请人： Josef Koblish , Anant Hegde , David Swanson
发明人： Josef Koblish , Anant Hegde , David Swanson
IPC分类号： A61B17/34 , A61B5/042 , A61B18/04 , A61B18/14 , A61F2/958
CPC分类号： A61B18/1492 , A61B5/0422 , A61B2018/00065 , A61B2018/00083 , A61B2018/00095 , A61B2018/00214 , A61B2018/0022 , A61B2018/00238 , A61B2018/00577 , A61B2018/00839 , A61B2090/065 , A61B2218/002
摘要： A probe that facilitates the creation of lesions in bodily tissue. The probe includes a relatively short shaft and an inflatable therapeutic element.
摘要翻译：有助于在身体组织中产生损伤的探针。探针包括相对短的轴和可膨胀的治疗元件。

7. 发明申请

US20050033321A1 Methods for electrically isolating a portion of the atria 有权
标题翻译：电气隔离心房部分的方法
公开(公告)号：US20050033321A1
公开(公告)日：2005-02-10
申请号：US10931346
申请日：2004-08-31
申请人： Sidney Fleischman , James Whayne , Thomas Bourne , David Swanson
发明人： Sidney Fleischman , James Whayne , Thomas Bourne , David Swanson
IPC分类号： A61B18/12 , A61B17/00 , A61B17/02 , A61B17/064 , A61B17/12 , A61B17/30 , A61B17/34 , A61M29/00 , A61B18/04
CPC分类号： A61B17/0218 , A61B17/00234 , A61B17/0469 , A61B17/064 , A61B17/12013 , A61B2017/00243 , A61B2017/00349 , A61B2017/0443 , A61B2017/0464 , A61B2017/048 , A61B2017/0649 , A61B2017/3488
摘要： Devices for insertion into an atrial appendage of stasis reducing components such as mesh members, chemical bonding agents or expandable anchors are disclosed.
摘要翻译：公开了用于插入龋齿减少组件如网状构件，化学粘合剂或可扩张锚的心房附件的装置。

8. 发明申请

US20050049585A1 Structures for deploying electrode elements 失效
公开(公告)号：US20050049585A1
公开(公告)日：2005-03-03
申请号：US10875097
申请日：2004-06-22
申请人： Sidney Fleischman , Thomas Bourne , James Whayne , David Swanson
发明人： Sidney Fleischman , Thomas Bourne , James Whayne , David Swanson
IPC分类号： A61B17/28 , A61B18/14 , A61N1/05
CPC分类号： A61N1/056 , A61B18/1492 , A61B18/1815 , A61B2017/2911 , A61B2018/00083 , A61B2018/00148 , A61B2018/00214 , A61B2018/00916 , A61B2018/00946 , A61B2018/00952 , A61B2018/1407 , A61B2018/142
摘要： An electrode support structure comprises a guide body having at its distal end a flexible spline leg. The spline leg is flexed to define an arcuate shape to facilitate intimate contact against tissue. An electrode element is carried by the spline leg for movement along its axis. The structure includes a control element coupled to the electrode element. The control element remotely imparts force to move the electrode element along the axis of the spline leg. Therefore, in use, the physician can cause the electrode element to travel along a path that the spline leg defines, without otherwise changing the location of the guide body.

9. 发明申请

US20050288667A1 Ablation systems including insulated energy transmitting elements 有权
标题翻译：消融系统包括绝缘能量传输元件
公开(公告)号：US20050288667A1
公开(公告)日：2005-12-29
申请号：US11199001
申请日：2005-08-08
申请人： Russell Thompson , Robert Burnside , David Swanson
发明人： Russell Thompson , Robert Burnside , David Swanson
IPC分类号： A61B18/14
CPC分类号： A61B18/1492 , A61B2018/00083 , A61B2018/00101 , A61B2018/00196 , A61B2018/00214 , A61B2018/00244 , A61B2018/00357 , A61B2018/1497
摘要： Ablation systems comprise a support body, an energy transmitting element supported by the support body and an insulating member covering a portion of the support body and energy transmitting member. Ablation energy is transmitted from an uncovered, exposed portion of the energy transmitting element. The insulating member may be a distal portion of an introducer sheath. An open segment may be provided in the distal portion to expose a portion of the energy transmitting element. When used in cardiac ablation therapy, for example, the insulating member decreases the amount of ablation energy dissipated in the blood circulating through the heart and thermally insulates the energy transmitting member and the tissue at the ablation site, enabling better control of the ablation process. An inflatable balloon or an expandable web may be provided coupled to the distal portion of the sheath behind the open segment to provide further insulation of the energy transmitting element and of the tissue around the ablation site. In another embodiment, ablation catheters incorporate an insulating member such as the inflatable balloon, expandable web or a cover. Methods of ablating tissue are also disclosed.
摘要翻译：消融系统包括支撑体，由支撑体支撑的能量传递元件和覆盖支撑体的一部分和能量传递构件的绝缘构件。消融能量从能量传递元件的未覆盖的暴露部分传输。绝缘构件可以是引导器护套的远端部分。可以在远端部分设置开放的段，以暴露能量传递元件的一部分。当用于心脏消融治疗时，例如，绝缘构件减少在通过心脏循环的血液中消散的消融能量的量，并使能量传递构件和组织在消融部位热绝缘，从而能够更好地控制消融过程。可以提供可充气气囊或可膨胀腹板，其联接到开放区段后面的护套的远端部分，以提供能量传递元件和围绕消融部位的组织的进一步绝缘。在另一个实施例中，消融导管包括绝缘构件，例如可充气气囊，可膨胀腹板或盖。还公开了消融组织的方法。

10. 发明申请

US20070156185A1 Ablative treatment of the heart to improve patient outcomes following surgery 有权
标题翻译：烧伤治疗心脏以改善手术后的患者结果
公开(公告)号：US20070156185A1
公开(公告)日：2007-07-05
申请号：US11651439
申请日：2007-01-08
申请人： David Swanson , Arthur Bertolero
发明人： David Swanson , Arthur Bertolero
IPC分类号： A61N1/00
CPC分类号： A61B18/00 , A61B1/12 , A61B5/0536 , A61B18/14 , A61B18/1402 , A61B18/1442 , A61B18/1477 , A61B18/148 , A61B18/1492 , A61B18/18 , A61B18/20 , A61B2017/00243 , A61B2017/22051 , A61B2017/2945 , A61B2018/00011 , A61B2018/00023 , A61B2018/00029 , A61B2018/00083 , A61B2018/0022 , A61B2018/00291 , A61B2018/00345 , A61B2018/00351 , A61B2018/00363 , A61B2018/00375 , A61B2018/00404 , A61B2018/00577 , A61B2018/00875 , A61B2018/00982 , A61B2018/0225 , A61B2018/0262 , A61B2018/126 , A61B2018/1425 , A61B2018/1432 , A61B2090/373 , A61B2090/378 , A61N1/0587
摘要： Devices and methods provide for ablation of cardiac tissue for treating cardiac arrhythmias such as atrial fibrillation. Although the devices and methods are often be used to ablate epicardial tissue in the vicinity of at least one pulmonary vein, various embodiments may be used to ablate other cardiac tissues in other locations on a heart. Devices generally include at least one tissue contacting member for contacting epicardial tissue and securing the ablation device to the epicardial tissue, and at least one ablation member for ablating the tissue. Various embodiments include features, such as suction apertures, which enable the device to attach to the epicardial surface with sufficient strength to allow the tissue to be stabilized via the device. For example, some embodiments may be used to stabilize a beating heart to enable a beating heart ablation procedure. Many of the devices may be introduced into a patient via minimally invasive introducer devices and the like. Although devices and methods of the invention may be used to ablate epicardial tissue to treat atrial fibrillation, they may also be used in veterinary or research contexts, to treat various heart conditions other than atrial fibrillation and/or to ablate cardiac tissue other than the epicardium. A method is described for treating cardiac arrhythmia by: verifying at least one location of a patient's cardiac parasympathetic ganglia, advancing at least one treatment member through an incision on the patient into the vicinity of the cardiac parasympathetic ganglia and applying energy to ablate at least one the cardiac parasympathetic ganglia. A combined pacing and ablation probe is described for performing the method.
摘要翻译：装置和方法提供用于治疗心律失常的心脏组织的消融，例如心房颤动。虽然通常使用装置和方法来消融至少一个肺静脉附近的心外膜组织，但是可以使用各种实施例来消融心脏上其他位置的其他心脏组织。装置通常包括用于接触心外膜组织并将消融装置固定到心外膜组织的至少一个组织接触构件以及用于烧蚀组织的至少一个消融构件。各种实施例包括诸如抽吸孔的特征，其使得装置能够以足够的强度附着到心外膜表面，以允许组织通过装置稳定。例如，一些实施例可用于稳定跳动心脏以实现搏动心脏消融手术。可以通过微创导引器装置等将许多装置引入患者体内。尽管本发明的装置和方法可用于消融心外膜组织以治疗房颤，但它们也可用于兽医学或研究领域，以治疗心房颤动以外的各种心脏病和/或除心外膜外的心脏组织。描述了一种通过以下方式来治疗心律失常的方法：通过以下方式来验证患者的心脏副交感神经节的至少一个位置，将至少一个治疗构件通过患者的切口推进到心脏副交感神经节附近并施加能量以消融至少一个心脏副交感神经节。描述了组合的起搏和消融探针以执行该方法。

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