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1. 发明申请

US20060195083A1 Electrosurgical hemostat 审中-公开
标题翻译：电外科止血钳
公开(公告)号：US20060195083A1
公开(公告)日：2006-08-31
申请号：US11411316
申请日：2006-04-26
申请人： Scott Jahns , David Francischelli , Alison Lutterman , James Keogh , Roderick Briscoe , William O'Neill , Jack Goodman , Tom Daigle , Paul Rothstein , Adam Podbelski , Stephen Roddy , David Kim , Mark Bilitz
发明人： Scott Jahns , David Francischelli , Alison Lutterman , James Keogh , Roderick Briscoe , William O'Neill , Jack Goodman , Tom Daigle , Paul Rothstein , Adam Podbelski , Stephen Roddy , David Kim , Mark Bilitz
IPC分类号： A61B18/14
CPC分类号： A61B18/1445 , A61B2018/1861
摘要： A hemostat-type device for ablative treatment of tissue, particularly for treatment of atrial fibrillation, is constructed with features that provide easy and effective treatment. A swiveling head assembly can allow the jaws to be adjusted in pitch and roll. Malleable jaws can permit curved lesion shapes. A locking detent can secure the jaws in a closed position during the procedure. An illuminated indicator provides confirmation that the device is operating. A fluid delivery system simplifies irrigated ablation procedures.
摘要翻译：用于消融治疗组织的止血剂型装置，特别是用于治疗心房纤维性颤动的装置，其构造具有提供容易和有效治疗的特征。旋转头组件可以允许钳口在俯仰和滚动中进行调节。韧性的钳口可以允许弯曲的损伤形状。在操作过程中，锁定爪可以将夹爪固定在关闭位置。照明指示灯提供设备运行的确认。流体输送系统简化了灌溉消融程序。

2. 发明申请

US20060020271A1 Methods and devices for occlusion of an atrial appendage 审中-公开
标题翻译：用于闭塞心房的方法和装置
公开(公告)号：US20060020271A1
公开(公告)日：2006-01-26
申请号：US11155699
申请日：2005-06-17
申请人： Mark Stewart , Alison Lutterman , David Francischelli , Leonard Leuer , Daniel Haeg , Marie Steinbrink , Roderick Briscoe , Tom Daigle , Eduardo Warman , Paul Rothstein , Phillip Falkner , Douglas Hettrick , David Kim , Steven Christian
发明人： Mark Stewart , Alison Lutterman , David Francischelli , Leonard Leuer , Daniel Haeg , Marie Steinbrink , Roderick Briscoe , Tom Daigle , Eduardo Warman , Paul Rothstein , Phillip Falkner , Douglas Hettrick , David Kim , Steven Christian
IPC分类号： A61B17/10
CPC分类号： A61B17/0057 , A61B17/12013 , A61B17/122 , A61B17/1285 , A61B90/39 , A61B2017/00243 , A61B2017/00575 , A61B2017/12018 , A61B2017/306
摘要： Some embodiments of the invention provide a system for occluding a left atrial appendage of a patient. Some embodiments of the system can include a ring occluder that can be positioned around the left atrial appendage and a ring applicator to position the ring occluder with respect to the left atrial appendage. One embodiment discloses a method of accessing endocardial surfaces of the heart through the atrial appendage. Additional embodiments of the invention provide a clip occluder that can be positioned around the left atrial appendage. A clip applicator can position the clip occluder with respect to the left atrial appendage.
摘要翻译：本发明的一些实施例提供一种用于闭塞患者左心耳的系统。该系统的一些实施例可以包括可以围绕左心耳定位的环封闭器和环施加器来相对于左心耳定位环封闭器。一个实施例公开了通过心房接近心脏心脏表面的方法。本发明的另外的实施例提供了可以围绕左心耳定位的夹子封堵器。夹子施放器可以相对于左心耳定位夹子封堵器。

3. 发明申请

US20060036236A1 Compound bipolar ablation device and method 失效
标题翻译：复合双极消融装置及方法
公开(公告)号：US20060036236A1
公开(公告)日：2006-02-16
申请号：US11143400
申请日：2005-06-02
申请人： Paul Rothstein , Roderick Briscoe , David Francischelli , David Kim , Alison Lutterman
发明人： Paul Rothstein , Roderick Briscoe , David Francischelli , David Kim , Alison Lutterman
IPC分类号： A61B18/14
CPC分类号： A61B18/1442 , A61B2018/00363 , A61B2018/00375 , A61B2018/00577
摘要： Method and apparatus for ablating target tissue adjacent pulmonary veins of a patient. The ablation device can include a lower jaw assembly including a proximal jaw having a proximal electrode and a distal jaw having a distal electrode, and an upper jaw assembly including an upper jaw having an upper electrode. A proximal actuator can be movable between a first position in which the proximal jaw is open and a second position in which the proximal jaw is clamped with respect to the upper jaw. A distal actuator can be movable between a third position in which the distal jaw is open and a fourth position in which the distal jaw is clamped with respect to the upper jaw.
摘要翻译：用于消融患者的肺静脉附近的靶组织的方法和装置。消融装置可以包括下钳口组件，其包括具有近端电极的近端钳口和具有远端电极的远端钳口，以及包括具有上电极的上钳口的上钳口组件。近侧致动器可以在其中近端颚打开的第一位置和相对于上颚夹紧近端颌的第二位置之间移动。远端致动器可以在其中远侧钳口打开的第三位置和第二位置之间移动，在第四位置，远端钳口相对于上钳夹紧。

4. 发明申请

US20080033457A1 Methods and devices for occlusion of an atrial appendage 有权
标题翻译：用于闭塞心房的方法和装置
公开(公告)号：US20080033457A1
公开(公告)日：2008-02-07
申请号：US11788261
申请日：2007-04-19
申请人： David Francischelli , Roderick Briscoe , Leonard Leuer , Daniel Haeg , Tom Daigle , David Kim , Mark Stewart , Andrew Olson , Patrick Cloutier , Christopher Smith , Michael Hobday , Tessy Kanayinkal , Douglas Gubbin , Paul Rothstein , Joseph Cardinal , Jessica Foley , Christopher Plott
发明人： David Francischelli , Roderick Briscoe , Leonard Leuer , Daniel Haeg , Tom Daigle , David Kim , Mark Stewart , Andrew Olson , Patrick Cloutier , Christopher Smith , Michael Hobday , Tessy Kanayinkal , Douglas Gubbin , Paul Rothstein , Joseph Cardinal , Jessica Foley , Christopher Plott
IPC分类号： A61B17/122
CPC分类号： A61B17/12 , A61B17/0057 , A61B17/12009 , A61B17/12013 , A61B17/122 , A61B17/128 , A61B17/1285 , A61B90/39 , A61B2017/00243 , A61B2017/00575 , A61B2017/12018 , A61B2017/306
摘要： Some embodiments of the invention provide a system for occluding a left atrial appendage of a patient. Some embodiments of the system can include a ring occluder that can be positioned around the left atrial appendage and a ring applicator to position the ring occluder with respect to the left atrial appendage. One embodiment discloses a method of accessing endocardial surfaces of the heart through the atrial appendage. Additional embodiments of the invention provide a clip occluder that can be positioned around the left atrial appendage. A clip applicator can position the clip occluder with respect to the left atrial appendage.
摘要翻译：本发明的一些实施例提供一种用于闭塞患者左心耳的系统。该系统的一些实施例可以包括可以围绕左心耳定位的环封闭器和环施加器来相对于左心耳定位环封闭器。一个实施例公开了通过心房接近心脏心脏表面的方法。本发明的另外的实施例提供了可以围绕左心耳定位的夹子封堵器。夹子施放器可以相对于左心耳定位夹子封堵器。

5. 发明申请

US20070244473A1 Method of surgical dissection and/or guidance of other medical devices into body 审中-公开
标题翻译：手术解剖和/或其他医疗器械进入体内的方法
公开(公告)号：US20070244473A1
公开(公告)日：2007-10-18
申请号：US11698764
申请日：2007-01-26
申请人： Mark Thompson , Darrin Dickerson , Brett Bowman , Christopher Kelly , William Malecki , David Francischelli , Mark Stewart , Thomas Daigle , Douglas Gubbin , David Kim , Paul Rothstein , Adam Podbelski , Christopher Plott , Benjamin Yaffe
发明人： Mark Thompson , Darrin Dickerson , Brett Bowman , Christopher Kelly , William Malecki , David Francischelli , Mark Stewart , Thomas Daigle , Douglas Gubbin , David Kim , Paul Rothstein , Adam Podbelski , Christopher Plott , Benjamin Yaffe
IPC分类号： A61B18/18
CPC分类号： A61B17/00234 , A61B1/0055 , A61B17/0218 , A61B18/1482 , A61B90/30 , A61B2017/003 , A61B2017/00367 , A61B2017/320044 , A61B2090/0811
摘要： A method of surgical dissection of tissue with a dissector comprising: an elongate shaft comprising a proximal portion and a distal portion, wherein the distal portion comprises a plurality of segments that articulate with respect to one another and the plurality of segments includes a distal segment having a distal end; and a handle attached to the proximal portion of the shaft, wherein the handle comprises controls for articulating the plurality of segments of the distal portion of the shaft with respect to one another, comprising the steps of: positioning the distal end of the dissector in a body; advancing the distal end through the body to dissect tissue; and simultaneously articulating the plurality of segments with respect to one another. A method of surgical dissection of tissue and guiding a second device to a desired physiological location with a first device.
摘要翻译：一种用分离器手术解剖组织的方法，包括：细长轴，其包括近端部分和远侧部分，其中所述远端部分包括相对于彼此铰接的多个部分，并且所述多个部分包括远侧部分，远端以及附接到所述轴的所述近端部分的手柄，其中所述手柄包括用于将所述轴的远侧部分的所述多个段相对于彼此铰接的控制器，包括以下步骤：将所述解剖器的远端定位在身体; 将远端推进穿过身体解剖组织; 并且同时相对于彼此铰接多个段。一种手术切割组织并用第一装置将第二装置引导到所需生理位置的方法。

6. 发明授权

US10098618B2 Method of surgical dissection and/or guidance of other medical devices into body 有权
公开(公告)号：US10098618B2
公开(公告)日：2018-10-16
申请号：US11698764
申请日：2007-01-26
申请人： Mark Thompson , Darrin Dickerson , Brett S. Bowman , Christopher F. Kelly , William W. Malecki , David Francischelli , Mark Stewart , Thomas Daigle , Douglas Gubbin , David Kim , Paul Rothstein , Adam Podbelski , Christopher Plott , Benjamin K. Yaffe
发明人： Mark Thompson , Darrin Dickerson , Brett S. Bowman , Christopher F. Kelly , William W. Malecki , David Francischelli , Mark Stewart , Thomas Daigle , Douglas Gubbin , David Kim , Paul Rothstein , Adam Podbelski , Christopher Plott , Benjamin K. Yaffe
IPC分类号： A61B18/18 , A61B17/00 , A61B1/005 , A61B90/30 , A61B17/02 , A61B18/14 , A61B17/32 , A61B90/00
摘要： A method of surgical dissection of tissue with a dissector comprising: an elongate shaft comprising a proximal portion and a distal portion, wherein the distal portion comprises a plurality of segments that articulate with respect to one another and the plurality of segments includes a distal segment having a distal end; and a handle attached to the proximal portion of the shaft, wherein the handle comprises controls for articulating the plurality of segments of the distal portion of the shaft with respect to one another, comprising the steps of: positioning the distal end of the dissector in a body; advancing the distal end through the body to dissect tissue; and simultaneously articulating the plurality of segments with respect to one another. A method of surgical dissection of tissue and guiding a second device to a desired physiological location with a first device.

7. 发明申请

US20070219550A1 Device and system for surgical dissection and/or guidance of other medical devices into body 审中-公开
标题翻译：用于手术解剖和/或引导其他医疗器械进入体内的装置和系统
公开(公告)号：US20070219550A1
公开(公告)日：2007-09-20
申请号：US11698807
申请日：2007-01-26
申请人： Mark Thompson , Darrin Dickerson , Brett Bowman , Christopher Kelly , William Malecki , David Francischelli , Mark Stewart , Thomas Daigle , Douglas Gubbin , David Kim , Paul Rothstein , Adam Podbelski , Christopher Plott , Benjamin Yaffe
发明人： Mark Thompson , Darrin Dickerson , Brett Bowman , Christopher Kelly , William Malecki , David Francischelli , Mark Stewart , Thomas Daigle , Douglas Gubbin , David Kim , Paul Rothstein , Adam Podbelski , Christopher Plott , Benjamin Yaffe
IPC分类号： A61B18/18
CPC分类号： A61B17/00234 , A61B1/0055 , A61B17/0218 , A61B18/1482 , A61B90/30 , A61B2017/003 , A61B2017/00367 , A61B2017/320044 , A61B2090/0811
摘要： A device for dissecting tissue and/or guidance of a second device to a desired physiological location, the device comprising: an elongate shaft comprising a proximal portion and a distal portion, wherein the distal portion comprises a plurality of segments that articulate with respect to one another; and a handle attached to the proximal portion of the shaft, wherein the handle comprises controls for articulating the plurality of segments of the distal portion of the shaft with respect to one another. A system for dissecting tissue and/or guiding a medical device to a desired physiological location.
摘要翻译：一种用于将第二装置的组织和/或引导解剖到期望的生理位置的装置，所述装置包括：细长轴，其包括近端部分和远侧部分，其中所述远端部分包括多个相对于一个另一个; 以及附接到所述轴的近侧部分的手柄，其中所述手柄包括用于相对于彼此铰接所述轴的远侧部分的所述多个段的控制。一种用于将组织切割和/或将医疗装置引导到所需生理位置的系统。

8. 发明申请

US20070203483A1 Ablation device with lockout feature 审中-公开
标题翻译：消融装置具有锁定功能
公开(公告)号：US20070203483A1
公开(公告)日：2007-08-30
申请号：US11698749
申请日：2007-01-26
申请人： David Kim , Thomas Daigle , Darrin Dickerson , James Skarda , Adam Podbelski , Mark Bilitz
发明人： David Kim , Thomas Daigle , Darrin Dickerson , James Skarda , Adam Podbelski , Mark Bilitz
IPC分类号： A61B18/14
CPC分类号： A61B18/1445 , A61B18/1492 , A61B2017/00243 , A61B2017/2945 , A61B2018/00363 , A61B2018/1432
摘要： A device for ablating tissue at a desired location in a body, the device comprising: a pair of jaws moveable between a spaced apart open position and a closed position, the pair of jaws comprising at least one ablating element for ablating tissue located between the jaws; a handle comprising controls for remotely controlling the movement of the jaws and the at least one ablative element, wherein the controls for the at least one ablative element comprise a trigger mechanism for applying ablative energy to the at least one ablating element; a neck connecting the jaws and handle; and a lockout mechanism for preventing the trigger mechanism from applying ablative energy when the jaws are in the open position.
摘要翻译：一种用于在身体中的期望位置烧蚀组织的装置，所述装置包括：可在间隔开的打开位置和关闭位置之间移动的一对夹爪，所述一对钳口包括至少一个用于烧蚀位于夹爪之间的组织的切除元件 ; 手柄，其包括用于远程控制所述钳口和所述至少一个烧蚀元件的运动的控制器，其中所述至少一个烧蚀元件的控制包括用于向所述至少一个烧蚀元件施加烧蚀能量的触发机构; 连接钳口和手柄的颈部; 以及锁定机构，用于在夹爪处于打开位置时防止触发机构施加烧蚀能量。

9. 发明申请

US20070208336A1 Ablation device and system for guiding ablation device into body 审中-公开
标题翻译：用于将消融装置引导到体内的消融装置和系统
公开(公告)号：US20070208336A1
公开(公告)日：2007-09-06
申请号：US11698801
申请日：2007-01-26
申请人： David Kim , Thomas Daigle , Darrin Dickerson , James Skarda , Adam Podbelski , Mark Bilitz
发明人： David Kim , Thomas Daigle , Darrin Dickerson , James Skarda , Adam Podbelski , Mark Bilitz
IPC分类号： A61B18/14
CPC分类号： A61B18/1445 , A61B18/1492 , A61B2017/00243 , A61B2017/2945 , A61B2018/00363 , A61B2018/1432
摘要： A device for ablating tissue at a desired location in a body, the device comprising: a pair of floating jaws moveable between a spaced apart open position and a closed position, the pair of jaws comprising at least one ablating element for ablating tissue located between the jaws; a handle comprising controls for remotely controlling the movement of the jaws and the at least one ablative element; and a flexible neck connecting the jaws and handle, wherein the neck is flexible so as to permit the jaws to be maneuverable in the body with respect to the handle. A system for guiding an ablation device to a desired location in a body.
摘要翻译：一种用于在身体中的期望位置烧蚀组织的装置，所述装置包括：一对可在间隔开的打开位置和关闭位置之间移动的浮动钳口，所述一对钳口包括至少一个用于烧蚀组织的切除元件，颚; 手柄，其包括用于远程控制所述夹爪和所述至少一个烧蚀元件的运动的控制器; 以及连接钳口和手柄的柔性颈部，其中颈部是柔性的，从而允许钳口相对于手柄在身体中可操纵。一种用于将消融装置引导到身体中期望位置的系统。

10. 发明申请

US20070203484A1 Methods of using ablation device and of guiding ablation device into body 审中-公开
标题翻译：使用消融装置和引导消融装置进入体内的方法
公开(公告)号：US20070203484A1
公开(公告)日：2007-08-30
申请号：US11698756
申请日：2007-01-26
申请人： David Kim , Thomas Daigle , Darrin Dickerson , James Skarda , Adam Podbelski , Mark Bilitz
发明人： David Kim , Thomas Daigle , Darrin Dickerson , James Skarda , Adam Podbelski , Mark Bilitz
IPC分类号： A61B18/14
CPC分类号： A61B18/1445 , A61B18/1492 , A61B2017/00243 , A61B2017/2945 , A61B2018/00363 , A61B2018/1432
摘要： A method of using an ablation device to ablate tissue at a desired location, wherein the ablation device comprises: a pair of floating jaws moveable between a spaced apart open position and a closed position, the pair of jaws comprising at least one ablating element for ablating tissue located between the jaws; a handle comprising controls for remotely controlling the movement of the jaws and the at least one ablative element; and a flexible neck connecting the jaws and handle, wherein the neck is flexible so as to permit the jaws to be maneuverable in the body with respect to the handle; the method comprising the steps of: providing the ablation device; delivering the jaws to a desired location; positioning the jaws in the open position around tissue desired to be ablated; closing the jaws to the closed position on the tissue by using the controls on the handle portion of the ablation device; and activating the at least one ablating element by using the controls on the handle portion of the ablation device and ablating the tissue. A method of guiding an ablation device into a body wherein a guide member may be attached and reattached to the ablation device as needed. A method of ablating the pulmonary veins in a heart of a patient.
摘要翻译：一种使用消融装置在期望位置烧蚀组织的方法，其中所述消融装置包括：一对可在间隔开的打开位置和闭合位置之间移动的浮动钳口，所述一对钳口包括至少一个用于烧蚀的烧蚀元件位于钳口之间的组织; 手柄，其包括用于远程控制所述夹爪和所述至少一个烧蚀元件的运动的控制器; 以及连接钳口和手柄的柔性颈部，其中颈部是柔性的，以便允许钳口相对于把手在身体中可操纵; 该方法包括以下步骤：提供消融装置; 将钳口输送到所需位置; 将钳口定位在希望被烧蚀的组织周围的打开位置; 通过使用消融装置的把手部分上的控制将钳口关闭到组织上的关闭位置; 以及通过使用所述消融装置的手柄部分上的控制并消融所述组织来激活所述至少一个烧蚀元件。将消融装置引导到体内的方法，其中可以根据需要将引导构件附接并重新附接到消融装置。一种消除患者心脏中肺静脉的方法。

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