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1. 发明授权

US07285117B2 Medical device control systems 有权
标题翻译：医疗器械控制系统
公开(公告)号：US07285117B2
公开(公告)日：2007-10-23
申请号：US10098661
申请日：2002-03-15
申请人： Katie L. Krueger , Jon Wohlgemuth , Robert F. Bencini , Miriam H. Taimisto , Richard Lardner
发明人： Katie L. Krueger , Jon Wohlgemuth , Robert F. Bencini , Miriam H. Taimisto , Richard Lardner
IPC分类号： A61B18/14 , A61B5/04
CPC分类号： A61B18/00 , A61B18/1492 , A61B34/25 , A61B2017/00199 , A61B2017/00367 , A61B2018/00916
摘要： A medical device for use by an operator to perform a medical procedure in a body includes a handle to be held by the operator, a shaft attached to the handle and an actuating assembly to control functions associated with the medical procedure. The shaft includes an operative distal portion to perform a medical procedure in the body. The medical device may be part of an ablation catheter system that is programmed to correlate one or more functions with the actuation of the actuating assembly. Multiple actuating assemblies may be provided. Each actuating assembly may be a button. Other types of actuating assemblies may also be used, such as switches or a trackball. The actuating assembly may also be provided on a sleeve that may be selectively attached to the handle of the catheter or the physician operating the catheter, for example.
摘要翻译：用于操作者在身体中执行医疗程序的医疗装置包括由操作者保持的手柄，附接到手柄的轴和用于控制与医疗程序相关联的功能的致动组件。轴包括用于在身体中执行医疗程序的可操作远端部分。医疗装置可以是消融导管系统的一部分，其被编程为将一个或多个功能与致动组件的致动相关联。可以提供多个致动组件。每个致动组件可以是按钮。也可以使用其他类型的致动组件，例如开关或轨迹球。致动组件也可以设置在例如可选择性地附接到导管的手柄或操作导管的医师的套筒上。

2. 发明申请

US20080215046A1 MEDICAL DEVICE CONTROL SYSTEM 审中-公开
标题翻译：医疗器械控制系统
公开(公告)号：US20080215046A1
公开(公告)日：2008-09-04
申请号：US11858068
申请日：2007-09-19
申请人： Katie Messing , Jon Wohlgemuth , Robert F. Bencini , Miriam H. Taimisto , Richard Lardner
发明人： Katie Messing , Jon Wohlgemuth , Robert F. Bencini , Miriam H. Taimisto , Richard Lardner
IPC分类号： A61B18/14
CPC分类号： A61B18/00 , A61B18/1492 , A61B34/25 , A61B2017/00199 , A61B2017/00367 , A61B2018/00916
摘要： A medical device for use by an operator to perform a medical procedure in a body includes a handle to be held by the operator, a shaft attached to the handle and an actuating assembly to control functions associated with the medical procedure. The shaft includes an operative distal portion to perform a medical procedure in the body. The medical device may be part of an ablation catheter system that is programmed to correlate one or more functions with the actuation of the actuating assembly. Multiple actuating assemblies may be provided. Each actuating assembly may be a button. Other types of actuating assemblies may also be used, such as switches or a trackball. The actuating assembly may also be provided on a sleeve that may be selectively attached to the handle of the catheter or the physician operating the catheter, for example.
摘要翻译：用于操作者在身体中执行医疗程序的医疗装置包括由操作者保持的手柄，附接到手柄的轴和用于控制与医疗程序相关联的功能的致动组件。轴包括用于在身体中执行医疗程序的可操作远端部分。医疗装置可以是消融导管系统的一部分，其被编程为将一个或多个功能与致动组件的致动相关联。可以提供多个致动组件。每个致动组件可以是按钮。也可以使用其他类型的致动组件，例如开关或轨迹球。致动组件也可以设置在例如可选择性地附接到导管的手柄或操作导管的医师的套筒上。

3. 发明授权

US06666864B2 Electrophysiological probes having selective element actuation and variable lesion length capability 有权
标题翻译：具有选择性元件致动和可变病变长度能力的电生理探针
公开(公告)号：US06666864B2
公开(公告)日：2003-12-23
申请号：US09896131
申请日：2001-06-29
申请人： Robert F. Bencini , Miriam H. Taimisto
发明人： Robert F. Bencini , Miriam H. Taimisto
IPC分类号： A61B5042
CPC分类号： A61N1/05 , A61B18/1492 , A61B2017/003 , A61B2018/00357 , A61B2018/00654 , A61B2018/00892
摘要： An apparatus having a support structure, a plurality of longitudinally spaced conductive regions, and an actuation device including at least one electrical contact located within the support structure and movable between respective positions where the one electrical contact is in electrical connection with one of the spaced conductive regions.
摘要翻译：一种具有支撑结构，多个纵向间隔的导电区域的装置，以及包括位于支撑结构内的至少一个电触头的致动装置，并且可在相应的位置之间移动，其中一个电触头与间隔导电地区。

4. 发明授权

US08043222B2 Transducer with multiple resonant frequencies for an imaging catheter 有权
标题翻译：用于成像导管的具有多个谐振频率的传感器
公开(公告)号：US08043222B2
公开(公告)日：2011-10-25
申请号：US12167802
申请日：2008-07-03
申请人： Miriam H. Taimisto , Richard Lardner
发明人： Miriam H. Taimisto , Richard Lardner
IPC分类号： A61B8/14
CPC分类号： A61B8/12 , A61B8/445 , A61B8/4461
摘要： A single transducer element that is capable of oscillation at a plurality of natural resonant frequencies may be used in an ultrasonic imaging catheter assembly including a catheter body configured to be inserted and guided through the vascular system of a living being, a lumen and a rotatable imaging core adapted to pass through the lumen, the imaging core including a flexible drive-shaft. Because the transducer element is capable of oscillation at a plurality of natural resonant frequencies, a user can switch from one frequency to another in order to improve the depth of field or resolution without having to switch out the catheter or imaging core.
摘要翻译：能够在多个天然共振频率下振荡的单个换能器元件可以用在超声成像导管组件中，所述超声成像导管组件包括构造成插入和引导通过活体，管腔和可旋转成像的血管系统的导管体芯体适于穿过管腔，成像芯包括柔性驱动轴。因为换能器元件能够以多个固有谐振频率振荡，所以用户可以从一个频率切换到另一个频率，以便改善景深或分辨率，而不必切断导管或成像芯。

5. 发明授权

US07396332B2 Transducer with multiple resonant frequencies for an imaging catheter 有权
标题翻译：用于成像导管的具有多个谐振频率的传感器
公开(公告)号：US07396332B2
公开(公告)日：2008-07-08
申请号：US10167223
申请日：2002-06-10
申请人： Miriam H. Taimisto , Richard Lardner
发明人： Miriam H. Taimisto , Richard Lardner
IPC分类号： A61B8/12
CPC分类号： A61B8/12 , A61B8/445 , A61B8/4461
摘要： A single transducer element that is capable of oscillation at a plurality of natural resonant frequencies may be used in an ultrasonic imaging catheter assembly including a catheter body configured to be inserted and guided through the vascular system of a living being, a lumen and a rotatable imaging core adapted to pass through the lumen, the imaging core including a flexible drive-shaft. Because the transducer element is capable of oscillation at a plurality of natural resonant frequencies, a user can switch from one frequency to another in order to improve the depth of field or resolution without having to switch out the catheter or imaging core.
摘要翻译：能够在多个天然共振频率下振荡的单个换能器元件可以用在超声成像导管组件中，所述超声成像导管组件包括构造成插入和引导通过活体，管腔和可旋转成像的血管系统的导管体芯体适于穿过管腔，成像芯包括柔性驱动轴。因为换能器元件能够以多个固有谐振频率振荡，所以用户可以从一个频率切换到另一个频率，以便改善景深或分辨率，而不必切断导管或成像芯。

6. 发明申请

US20080269615A1 TRANSDUCER WITH MULTIPLE RESONANT FREQUENCIES FOR AN IMAGING CATHETER 有权
标题翻译：具有用于成像导管的多个谐振频率的传感器
公开(公告)号：US20080269615A1
公开(公告)日：2008-10-30
申请号：US12167802
申请日：2008-07-03
申请人： Miriam H. Taimisto , Richard Lardner
发明人： Miriam H. Taimisto , Richard Lardner
IPC分类号： A61B8/00
CPC分类号： A61B8/12 , A61B8/445 , A61B8/4461
摘要： A single transducer element that is capable of oscillation at a plurality of natural resonant frequencies may be used in an ultrasonic imaging catheter assembly including a catheter body configured to be inserted and guided through the vascular system of a living being, a lumen and a rotatable imaging core adapted to pass through the lumen, the imaging core including a flexible drive-shaft. Because the transducer element is capable of oscillation at a plurality of natural resonant frequencies, a user can switch from one frequency to another in order to improve the depth of field or resolution without having to switch out the catheter or imaging core.
摘要翻译：能够在多个天然共振频率下振荡的单个换能器元件可以用在超声成像导管组件中，所述超声成像导管组件包括构造成插入和引导通过活体，管腔和可旋转成像的血管系统的导管体芯体适于穿过管腔，成像芯包括柔性驱动轴。因为换能器元件能够以多个固有谐振频率振荡，所以用户可以从一个频率切换到另一个频率，以便改善景深或分辨率，而不必切断导管或成像芯。

7. 发明授权

US08109274B2 Methods and electrode apparatus to achieve a closure of a layered tissue defect 有权
标题翻译：实现层状组织缺损闭合的方法和电极装置
公开(公告)号：US08109274B2
公开(公告)日：2012-02-07
申请号：US11403052
申请日：2006-04-11
申请人： Kenneth Horne , Jose Alejandro , Erik Engelson , Dominique Filloux , Dan Francis , Lucia Kim , Uday N. Kumar , Doug Sutton , Miriam H. Taimisto , Andy Uchida
发明人： Kenneth Horne , Jose Alejandro , Erik Engelson , Dominique Filloux , Dan Francis , Lucia Kim , Uday N. Kumar , Doug Sutton , Miriam H. Taimisto , Andy Uchida
IPC分类号： A61B19/00
CPC分类号： A61B17/0057 , A61B18/1492 , A61B2017/00504 , A61B2017/00557 , A61B2017/00561 , A61B2017/00575 , A61B2017/22069 , A61B2018/00351 , A61B2018/0063 , A61B2018/1407 , A61B2090/061 , A61M25/0069 , A61M25/10 , A61M2025/105 , A61M2025/1052 , A61M2025/1054
摘要： Methods for treating anatomic tissue defects such as a patent foramen ovale generally involve positioning a distal end of a catheter device at the site of the defect, exposing a housing and energy transmission member from the distal end of the catheter, engaging the housing with tissues at the site of the defect, applying suction or other approximating tool to the tissue via the housing to bring the tissue together, and applying energy to the tissue with the energy transmission member or to deliver a clip or fixation device to substantially close the defect. Apparatus generally include a catheter body, a housing extending from a distal end of the catheter body for engaging tissue at the site of the defect, and further adapted to house a fusing or fixation device such as an energy transmission member adjacent a distal end of the housing, or a clip or fixation delivery element.
摘要翻译：用于治疗解剖组织缺陷的方法，例如卵孔卵孔通常涉及将导管装置的远端定位在缺损部位，使外壳和能量传递构件从导管的远端露出，使壳体与组织接合通过外壳向组织施加吸力或其它近似工具以将组织带到一起，以及用能量传递构件向组织施加能量，或者输送夹子或固定装置以基本上封闭缺陷。装置通常包括导管主体，从导管主体的远端延伸的壳体，用于接合缺损位置处的组织，并且还适于容纳定影或固定装置，例如邻近于所述导管主体的远端的能量传递构件外壳，或夹子或固定传递元件。

8. 发明申请

US20090318914A1 SYSTEM AND METHOD FOR ABLATIONAL TREATMENT OF UTERINE CERVICAL NEOPLASIA 审中-公开
标题翻译：用于治疗子宫颈癌的系统和方法
公开(公告)号：US20090318914A1
公开(公告)日：2009-12-24
申请号：US12270373
申请日：2008-11-13
申请人： David S. Utley , Brent C. Gerberding , Miriam H. Taimisto , Winnie Chung , Jennifer D. Marler , Viorica Filimon
发明人： David S. Utley , Brent C. Gerberding , Miriam H. Taimisto , Winnie Chung , Jennifer D. Marler , Viorica Filimon
IPC分类号： A61B18/18
CPC分类号： A61B18/1485 , A61B18/1206 , A61B46/13 , A61B2017/4225 , A61B2018/0016 , A61B2018/00279 , A61B2018/00285 , A61B2018/00291 , A61B2018/00559 , A61B2018/00577 , A61B2018/00642 , A61B2018/00702 , A61B2018/00708 , A61B2018/00738 , A61B2018/00779 , A61B2018/00791 , A61B2018/00875 , A61B2018/00886 , A61B2018/142 , A61B2018/1435 , A61B2018/1497 , A61B2050/314
摘要： The invention provides a system, devices, and methods for ablating abnormal epithelial tissue of the uterine cervix. Embodiments of an ablation device include an operative head with a support surface adapted to conformably engage and therapeutically contact the cervix, and an energy delivery element on the support surface. The energy delivery element is configured to deliver energy, such as RF energy, to the tissue in a manner that controls the surface area and depth of ablation. The device may further include a shaft and a handle to support the ablation device, and may further include a speculum to facilitate access to the cervix. A system to support the operation of the ablation device includes a generator to deliver energy to the energy delivery element. Embodiments of a method for ablating abnormal cervical tissue include inserting an ablation device intravaginally to contact the cervix, aligning an energy delivery element support surface conformably against a region of the cervix with abnormal tissue, and ablating the tissue.
摘要翻译：本发明提供了一种用于消除子宫颈异常上皮组织的系统，装置和方法。消融装置的实施例包括具有支承表面的操作头部，该支撑表面适于与子宫颈顺应地接合和治疗接触，以及支撑表面上的能量输送元件。能量递送元件被配置为以控制消融的表面积和深度的方式将能量（例如RF能量）递送到组织。该装置还可以包括轴和手柄以支撑消融装置，并且还可包括用于便于接近子宫颈的窥器。用于支持消融装置的操作的系统包括用于向能量输送元件输送能量的发生器。用于消除异常宫颈组织的方法的实施方案包括阴道内插入消融装置以接触子宫颈，将能量递送元件支撑表面与宫颈区域顺应对准异常组织，并消融组织。

9. 发明授权

US5662620A Transport catheter 失效
标题翻译：运输导管
公开(公告)号：US5662620A
公开(公告)日：1997-09-02
申请号：US675365
申请日：1996-07-02
申请人： Clement E. Lieber , Miriam H. Taimisto , Mark A. Konno
发明人： Clement E. Lieber , Miriam H. Taimisto , Mark A. Konno
IPC分类号： A61B5/028 , A61B8/06 , A61B8/12 , A61M25/00
CPC分类号： A61B8/06 , A61B5/028 , A61B8/12 , A61M25/0023 , A61M25/0029 , A61M25/003 , A61M25/0032
摘要： A catheter with several independent lumens extending longitudinally through the catheter for accepting probes and for introducing fluid through the catheter and into a body cavity is disclosed. The cathater outer body has a cross-sectional maximum outer dimension. The first lumen is circular in cross-section, and has a cross-sectional dimension of approximately half the maximum outer dimension of the catheter body. The first lumen is capable of accepting various probes, as well as allowing simultaneous fluid flow through the lumen. The second lumen is crescent-shaped in cross-section and occupies at least a quarter of an arc around the cross-section of the catheter body. The large cross-section of the second lumen allows for a high fluid flow rate through the lumen. The third lumen allows for inflation of an inflation balloon (when present), and the fourth lumen allows for the passing of a portion of an instrument along the length of the lumen.
摘要翻译：公开了一种导管，其具有纵向延伸穿过导管以接纳探针并将流体引入导管并引入体腔的几个独立腔。催化器外体具有横截面的最大外部尺寸。第一腔是横截面为圆形，并且具有大约是导管体的最大外尺寸的一半的横截面尺寸。第一个腔能够接受各种探针，同时允许液体同时流过内腔。第二管腔的横截面为月牙形，并且在导管主体的横截面周围占据至少四分之一弧。第二管腔的大横截面允许通过内腔的高流体流速。第三管腔允许充气气囊（当存在时）的膨胀，并且第四管腔允许器械的一部分沿着管腔的长度通过。

10. 发明授权

US5662606A Catheter for electrophysiological procedures 失效
标题翻译：导管用于电生理程序
公开(公告)号：US5662606A
公开(公告)日：1997-09-02
申请号：US339125
申请日：1994-11-14
申请人： William W. Cimino , Robert Abrams , Miriam H. Taimisto , Marc Jenson , Patrick E. Macaulay
发明人： William W. Cimino , Robert Abrams , Miriam H. Taimisto , Marc Jenson , Patrick E. Macaulay
IPC分类号： A61B5/0408 , A61B5/0402 , A61B5/042 , A61B5/0478 , A61B5/0492 , A61B17/00 , A61B18/00 , A61B18/12 , A61B18/14 , A61M25/00 , A61M25/01 , A61M37/00
CPC分类号： A61B5/0422 , A61B18/00 , A61B18/1492 , A61B5/6852 , A61B5/6855 , A61M25/0136 , A61M25/0144 , A61M25/0147 , A61B2017/00039 , A61B2017/00044 , A61B2017/00292 , A61B2017/003 , A61B2017/00853 , A61B2018/0016 , A61B2018/00351 , A61B2018/00577 , A61B2018/00839 , A61B2018/0091 , A61B2018/00916 , A61B2018/00946 , A61B2018/1253 , A61B2562/0209 , A61B2562/043 , A61M25/0043 , A61M25/0054
摘要： A catheter adapted to perform electrophysiological procedures comprises a body member, a manipulation handle attached to the proximal end of the body member for applying torque to the body member, the handle having a control knob adapted for control movements in a first plane and in a second plane simultaneously. A deflection control line is attached at its distal end to the distal portion of the catheter and its proximal end attached to the control device of the handle so that tension applied to the control line by sliding the control knob causes deflection of the distal portion of the catheter. A stiffening member is disposed within the body member of the catheter and is slidable, said stiffening member providing increased rigidity to the portion of the body member in which the stiffening member is located. Rotation of the control knob controls the position of the stiffening member in the body member. In a further aspect, a stiffening member in accordance with one embodiment includes a tapered distal end section with a ball formed on the distal tip, the tapered section terminating at the ball. In accordance with another aspect, the torsional rigidity of the catheter body is increased by use of a layer of aramid fibers mixed with an epoxy. In yet another feature, the handle and rotatable sliding element are symmetrically shaped to facilitate complete single-handed operation of the handle by the physician of all position control aspects of the catheter.
摘要翻译：适于执行电生理过程的导管包括身体构件，附接到身体构件的近端的操纵手柄，用于向身体构件施加扭矩，手柄具有适于控制第一平面中的运动的控制旋钮，飞机同时进行。偏转控制线在其远端附接到导管的远端部分，并且其近端附接到手柄的控制装置，使得通过滑动控制旋钮施加到控制线的张力导致远端部分的偏转导管。加强构件设置在导管的主体构件内并且可滑动，所述加强构件为加强构件所在的主体构件的部分提供增加的刚性。控制旋钮的旋转控制加强构件在主体构件中的位置。在另一方面，根据一个实施例的加强构件包括锥形远端部分，其具有形成在远侧末端上的球，锥形部分终止于球。根据另一方面，通过使用与环氧树脂混合的芳族聚酰胺纤维层来增加导管体的扭转刚度。在另一个特征中，手柄和可旋转的滑动元件是对称的，以便于医生对导管的所有位置控制方面的手柄的完全单手操作。

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