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1. 发明申请

US20070043397A1 Cardiac mapping instrument with shapeable electrode 审中-公开
标题翻译：具有可塑电极的心脏测绘仪
公开(公告)号：US20070043397A1
公开(公告)日：2007-02-22
申请号：US11586112
申请日：2006-10-25
申请人： Jon Ocel , Roderick Briscoe , David Francischelli , Scott Jahns , James Keogh , Katherine Jolly , Matthew Bonner
发明人： Jon Ocel , Roderick Briscoe , David Francischelli , Scott Jahns , James Keogh , Katherine Jolly , Matthew Bonner
IPC分类号： A61N1/362
CPC分类号： A61B5/042 , A61B5/7475 , A61B18/14 , A61B2017/2927 , A61B2018/1472 , A61N1/056
摘要： An instrument including an elongated shaft and a non-conductive handle is disclosed. The shaft defines a proximal section and a distal section. The distal section forms an electrically conductive tip. Further, the shaft is adapted to be transitionable from a straight state to a first bent state. The shaft is capable of independently maintaining the distinct shapes associated with the straight state and the first bent state. The handle is rigidly coupled to the proximal section of the shaft. The instrument is useful for epicardial pacing and/or mapping of the heart for temporary pacing on a beating heart, for optimizing the placement of ventricular leads for the treatment of patients with congestive heart failure and ventricular dysynchrony and/or for use in surgical ablation procedures.
摘要翻译：公开了一种包括细长轴和非导电手柄的仪器。轴限定近端部分和远端部分。远侧部分形成导电尖端。此外，轴适于从直状态转变到第一弯曲状态。轴能够独立地保持与直线状态和第一弯曲状态相关联的不同形状。手柄刚性地联接到轴的近端部分。该仪器可用于心脏起搏和/或心脏在心脏跳动中临时起搏的作用，以优化用于治疗患有充血性心力衰竭和心室异常不适和/或用于外科手术切除手术的患者的心室导线的位置。

2. 发明申请

US20060041254A1 Electrosurgical hemostat 有权
标题翻译：电外科止血钳
公开(公告)号：US20060041254A1
公开(公告)日：2006-02-23
申请号：US11040663
申请日：2005-01-21
申请人： David Francischelli , Roderick Briscoe , Paul Rothstein , David Jin Kim , James Keogh , Tom Daigle , Adam Podbellski , Stephen Roddy , Steve Christian , Brian Ross , James Skarda , Scott Jahns , Alison Lutterman
发明人： David Francischelli , Roderick Briscoe , Paul Rothstein , David Jin Kim , James Keogh , Tom Daigle , Adam Podbellski , Stephen Roddy , Steve Christian , Brian Ross , James Skarda , Scott Jahns , Alison Lutterman
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. The device may include a swiveling head assembly that allows the jaws to be adjusted in pitch and/or roll. The device may include a malleable or articulating handle shaft, as well as, malleable or curved rigid jaws that can permit curved lesion shapes. A locking detent can secure the jaws in a closed position during the procedure. The device may include one or more remote actuators making the hemostat-type device useful for minimally invasive 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。该装置可以包括旋转头组件，其允许在间距和/或辊中调整夹爪。该装置可以包括可延展的或铰接的手柄轴，以及可以允许弯曲的损伤形状的可延展或弯曲的刚性钳口。在操作过程中，锁定爪可以将夹爪固定在关闭位置。该装置可以包括一个或多个远程致动器，其使止血器装置用于微创程序。

3. 发明申请

US20070118107A1 Vibration sensitive ablation device and method 审中-公开
标题翻译：振动敏感消融装置及方法
公开(公告)号：US20070118107A1
公开(公告)日：2007-05-24
申请号：US11648976
申请日：2007-01-03
申请人： David Francischelli , Scott Jahns , James Keogh
发明人： David Francischelli , Scott Jahns , James Keogh
IPC分类号： A61B18/14
CPC分类号： A61B18/1442 , A61B18/14 , A61B18/1402 , A61B18/1445 , A61B2017/00022 , A61B2017/00084 , A61B2017/00115 , A61B2017/00128 , A61B2017/00243 , A61B2017/00247 , A61B2017/003 , A61B2017/0243 , A61B2017/306 , A61B2018/00011 , A61B2018/00107 , A61B2018/0016 , A61B2018/00291 , A61B2018/00351 , A61B2018/00392 , A61B2018/00577 , A61B2018/00666 , A61B2018/00672 , A61B2018/00702 , A61B2018/00708 , A61B2018/00791 , A61B2018/00797 , A61B2018/00815 , A61B2018/00821 , A61B2018/0088 , A61B2018/1253 , A61B2018/126 , A61B2018/146 , A61B2018/1472 , A61B2218/002
摘要： An ablation apparatus including a maneuvering mechanism, a conductive element attached to the apparatus, a sensor attached to the apparatus and an output device in communication with the sensor is provided. The sensor senses vibration during the ablation procedure and sends a signal to the output device to reduce power to the conductive element.
摘要翻译：提供一种消融装置，包括操纵机构，附接到装置的导电元件，附接到装置的传感器和与传感器连通的输出装置。传感器感测消融过程中的振动，并将信号发送到输出设备以降低导电元件的功率。

4. 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。

5. 发明申请

US20070049863A1 Devices and methods for interstitial injection of biologic agents into tissue 有权
标题翻译：将生物制剂间插注入组织的装置和方法
公开(公告)号：US20070049863A1
公开(公告)日：2007-03-01
申请号：US11545197
申请日：2006-10-10
申请人： Scott Jahns , Gary Oehme , Matthew Bonner , James Keogh
发明人： Scott Jahns , Gary Oehme , Matthew Bonner , James Keogh
IPC分类号： A61M31/00
CPC分类号： A61B17/3478 , A61B17/00234 , A61B17/205 , A61B2017/00247 , A61B2017/00876 , A61B2017/2936 , A61B2017/2943 , A61B2017/306 , A61B2018/00392 , A61B2090/034 , A61M5/32 , A61M2025/0086 , A61M2025/0087
摘要： Apparatus and methods for injecting biological agents into tissue. Devices are provided having elongate shafts and distal injection heads for transversely driving needles into tissue and injecting medical agents into the tissue through the needles. A longitudinal force directed along the shaft can be translated to a needle driving force transverse to the shaft. Some devices provide controllably variable needle penetration depth. Devices include mechanical needle drivers utilizing four link pantographs, rack and pinions, and drive yokes for driving a first needle bearing body toward a second tissue contacting body. Other devices include inflatable members for driving and retracting needles. Still other devices include magnets for biasing the needles in extended and/or retracted positions. The invention includes minimally invasive methods for epicardially injecting cardiocyte precursor cells into infarct myocardial tissue.
摘要翻译：将生物制剂注入组织的装置和方法。设备具有细长的轴和远端注射头，用于将针横向驱动到组织中，并通过针将药剂注射到组织中。沿着轴引导的纵向力可以平移到与轴垂直的针驱动力。一些装置提供可控的可变针穿透深度。设备包括利用四个连杆缩放仪，齿条和小齿轮的机械针驱动器和用于将第一滚针轴承体朝向第二组织接触体驱动的驱动轭。其他装置包括用于驱动和缩回针的可充气构件。还有其它装置包括用于在延伸和/或缩回位置偏置针的磁体。本发明包括用心外膜将心脏细胞前体细胞注入梗死心肌组织的微创方法。

6. 发明申请

US20050209564A1 Devices and methods for interstitial injection of biologic agents into tissue 有权
标题翻译：将生物制剂间插注入组织的装置和方法
公开(公告)号：US20050209564A1
公开(公告)日：2005-09-22
申请号：US11000798
申请日：2004-11-30
申请人： Matthew Bonner , Paul Rothstein , Prasanga Hiniduma-Lokuge , Raymond Usher , James Keogh , Scott Jahns , Victor Chen
发明人： Matthew Bonner , Paul Rothstein , Prasanga Hiniduma-Lokuge , Raymond Usher , James Keogh , Scott Jahns , Victor Chen
IPC分类号： A61B17/00 , A61B17/20 , A61B17/28 , A61B17/30 , A61B17/34 , A61M5/00
CPC分类号： A61B17/3478 , A61B17/00234 , A61B17/205 , A61B2017/00243 , A61B2017/00247 , A61B2017/2926 , A61B2017/2936 , A61B2017/2943 , A61B2017/306 , A61B2018/00392 , A61B2090/034 , A61M25/0084
摘要： Apparatus and methods for injecting biological agents into tissue. Devices are provided having elongate shafts and distal injection heads for driving needles into tissue and injecting medical agents into the tissue through the needles. A longitudinal force directed along the shaft can be translated to a needle driving force. Some devices provide controllably variable needle penetration depth. Devices include mechanical needle drivers utilizing four link pantographs, rack and pinions, and drive yokes for driving a first needle bearing body toward a second tissue contacting body. Other devices include inflatable members for driving and retracting needles. Still other devices include magnets for biasing the needles in extended and/or retracted positions. The invention includes minimally invasive methods for epicardially injecting cardiocyte precursor cells into infarct myocardial tissue.
摘要翻译：将生物制剂注入组织的装置和方法。设备具有细长轴和远端注射头，用于将针驱动到组织中，并通过针将药剂注射到组织中。沿着轴引导的纵向力可以转换成针驱动力。一些装置提供可控的可变针穿透深度。设备包括利用四个连杆缩放仪，齿条和小齿轮的机械针驱动器和用于将第一滚针轴承体朝向第二组织接触体驱动的驱动轭。其他装置包括用于驱动和缩回针的可充气构件。还有其它装置包括用于在延伸和/或缩回位置偏置针的磁体。本发明包括用心外膜将心脏细胞前体细胞注入梗死心肌组织的微创方法。

7. 发明申请

US20070073343A1 Vessel sealing devices 审中-公开
公开(公告)号：US20070073343A1
公开(公告)日：2007-03-29
申请号：US11604932
申请日：2006-11-28
申请人： Scott Jahns , James Keogh , Paul Pignato , Christopher Olig , Karen Montpetit , Cynthia Clague , Raymond Usher , Philip Harrstad , Gary Guenst
发明人： Scott Jahns , James Keogh , Paul Pignato , Christopher Olig , Karen Montpetit , Cynthia Clague , Raymond Usher , Philip Harrstad , Gary Guenst
IPC分类号： A61B17/04
CPC分类号： A61B17/32053 , A61B17/0482 , A61B17/11 , A61B2017/1107 , A61B2017/1135 , A61B2017/1139
摘要： A device for temporarily sealing an opening in a blood vessel is provided. The device comprises a cutting mechanism for creating an opening in a blood vessel and a seal for sealing the opening in the blood vessel. The seal is delivered through an inner lumen of a tool body coupled to the cutting mechanism. Methods for using the device to construct an anastomosis between two vessels are also provided.

8. 发明申请

US20050165427A1 Vessel sealing devices 审中-公开
标题翻译：船舶密封装置
公开(公告)号：US20050165427A1
公开(公告)日：2005-07-28
申请号：US10763861
申请日：2004-01-22
申请人： Scott Jahns , James Keogh , Paul Pignato , Christopher Olig , Karen Montpetit , Cynthia Clague , Raymond Usher , Philip Haarstad , Gary Guenst
发明人： Scott Jahns , James Keogh , Paul Pignato , Christopher Olig , Karen Montpetit , Cynthia Clague , Raymond Usher , Philip Haarstad , Gary Guenst
IPC分类号： A61B17/00 , A61B17/04 , A61B17/11 , A61B17/32 , A61B17/08
CPC分类号： A61B17/32053 , A61B17/0482 , A61B17/11 , A61B2017/1107 , A61B2017/1135 , A61B2017/1139
摘要： A device for temporarily sealing an opening in a blood vessel is provided. The device comprises a cutting mechanism for creating an opening in a blood vessel and a seal for sealing the opening in the blood vessel. The seal is delivered through an inner lumen of a tool body coupled to the cutting mechanism. Methods for using the device to construct an anastomosis between two vessels are also provided.
摘要翻译：提供了用于临时密封血管中的开口的装置。该装置包括用于在血管中形成开口的切割机构和用于密封血管中的开口的密封件。密封件通过联接到切割机构的工具主体的内腔传送。还提供了使用该装置来构建两个血管之间的吻合的方法。

9. 发明申请

US20050096707A1 Method and system for monitoring and controlling systemic and pulmonary circulation during a medical procedure 审中-公开
标题翻译：在医疗过程中监测和控制全身和肺循环的方法和系统
公开(公告)号：US20050096707A1
公开(公告)日：2005-05-05
申请号：US11000262
申请日：2004-11-30
申请人： Michael Hill , Scott Jahns , James Keogh
发明人： Michael Hill , Scott Jahns , James Keogh
IPC分类号： A61N1/36 , A61N1/38 , A61N1/365
CPC分类号： A61N1/36114 , A61N1/385
摘要： A method of performing a medical procedure, such as surgery, is provided. The system comprises a sensor to sense a biological characteristic, such as a chemical, physical or physiological characteristic of a bodily tissue or fluid. The method also comprises a nerve stimulator in communication with the sensor to inhibit beating of a heart when the sensor senses the biological characteristic at a first value; and a cardiac stimulator in communication with the sensor to stimulate beating of the heart when the sensor senses the biological characteristic at a second value.
摘要翻译：提供了一种执行诸如手术的医疗程序的方法。该系统包括用于感测身体组织或液体的生物学特性，例如化学，物理或生理特征的传感器。所述方法还包括与所述传感器通信的神经刺激器，以在所述传感器以第一值感测所述生物学特性时抑制心脏跳动; 以及与所述传感器通信的心脏刺激器，以在所述传感器以第二值感测所述生物特征时刺激所述心跳。

10. 发明申请

US20070208388A1 Method and system for nerve stimulation and cardiac sensing prior to and during a medical procedure 审中-公开
标题翻译：在医疗过程之前和期间神经刺激和心脏感知的方法和系统
公开(公告)号：US20070208388A1
公开(公告)日：2007-09-06
申请号：US11796663
申请日：2007-04-27
申请人： Scott Jahns , Michael Hill , James Keogh
发明人： Scott Jahns , Michael Hill , James Keogh
IPC分类号： A61N1/362
CPC分类号： A61N1/36114 , A61N1/362 , A61N1/385
摘要： A method of performing a medical procedure, such as surgery, is provided. A nerve is stimulated in order to adjust the beating of the heart to a first condition, such as a stopped or slowed condition. The medical procedure is performed on the heart or another organ. The stimulation of the nerve is stopped in order to adjust the beating of the heart to a second condition, such as a beating condition. The heart itself may also be stimulated to a beating condition, such as by pacing. The stimulation of the nerve may be continued in order to allow the medical procedure to be continued. A sensor to sense a characteristic of a fluid or tissue, such as an impending contraction, may be also used during the medical procedure. Systems and devices for performing the medical procedure are also provided.
摘要翻译：提供了一种执行诸如手术的医疗程序的方法。刺激神经以将心脏的跳动调节到第一状态，例如停止或减缓的状态。医疗程序在心脏或另一个器官上进行。停止对神经的刺激，以便将心脏的跳动调节到第二状态，例如打浆状态。心脏本身也可能被刺激到跳动状态，例如通过起搏。可以继续刺激神经以允许继续医疗手术。也可以在医疗过程中使用用于感测流体或组织的特征的传感器，例如即将收缩的收缩。还提供用于执行医疗程序的系统和设备。

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