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1. 发明申请

US20070293856A1 Side-port sheath for catheter placement and translation 有权
公开(公告)号：US20070293856A1
公开(公告)日：2007-12-20
申请号：US11892817
申请日：2007-08-27
申请人： Saurav Paul , Kedar Belhe , Hong Cao , John Roop , Chou Thao
发明人： Saurav Paul , Kedar Belhe , Hong Cao , John Roop , Chou Thao
IPC分类号： A61B18/08
CPC分类号： A61B18/1492 , A61B5/042 , A61B2018/143 , A61B2018/1475 , A61B2018/1497
摘要： Side-port sheaths for catheter placement and translation are disclosed. The sheaths include a side-port opening through which a gliding catheter may be deployed during diagnosis or treatment of tissue. The side-port sheath may include a suspension ribbon used to deploy, or that aids in the deployment of, the embedded gliding catheter. The suspension ribbon may be slideably or fixably engaged with an outer surface of the sheath of the gliding catheter.

2. 发明申请

US20050267460A1 Ablation catheter with suspension system incorporating rigid and flexible components 失效
标题翻译：消融导管与悬挂系统结合刚性和柔性组件
公开(公告)号：US20050267460A1
公开(公告)日：2005-12-01
申请号：US10856544
申请日：2004-05-27
申请人： John Roop , Kedar Belhe , Hong Cao , Saurav Paul
发明人： John Roop , Kedar Belhe , Hong Cao , Saurav Paul
IPC分类号： A61B18/14
CPC分类号： A61B18/1492 , A61B2017/00867 , A61B2018/00351 , A61B2018/143 , C08L2201/12
摘要： A curved ablation catheter imparts ablative energy to target tissue, for example, along a trabecular slope, e.g., in the right atrium along the isthmus between the ostium of the inferior vena cava and the tricuspid valve. The catheter is formed with a preset curvature that, when deployed, both translates linearly and increases in radius to aid in the formation of spot or continuous linear lesions. A method of treating atrial flutter employs the curved ablation catheter.
摘要翻译：弯曲的消融导管向靶组织提供消融能量，例如沿着小梁斜面，例如沿着下腔静脉的口和三尖瓣之间的峡谷的右心房。导管形成有预设曲率，当展开时，两者均线性地平移并且半径增加以帮助形成斑点或连续的线性损伤。治疗心房扑动的方法采用弯曲消融导管。

3. 发明申请

US20070088349A1 Curved ablation catheter 有权
标题翻译：弯曲消融导管
公开(公告)号：US20070088349A1
公开(公告)日：2007-04-19
申请号：US11550302
申请日：2006-10-17
申请人： Kedar Belhe , Saurav Paul , Hong Cao , John Roop
发明人： Kedar Belhe , Saurav Paul , Hong Cao , John Roop
IPC分类号： A61B18/14
CPC分类号： A61B18/1492 , A61B2018/00351 , A61B2018/143 , A61B2018/1475 , A61B2018/1497
摘要： A curved ablation catheter imparts ablative energy to target tissue, for example, along a trabecular slope, e.g., in the right atrium along the isthmus between the ostium of the inferior vena cava and the tricuspid valve. The catheter is formed with a preset curvature that, when deployed, both translates linearly and increases in radius to aid in the formation of spot or continuous linear lesions. A method of treating atrial flutter employs the curved ablation catheter.
摘要翻译：弯曲的消融导管向靶组织提供消融能量，例如沿着小梁斜面，例如沿着下腔静脉的口和三尖瓣之间的峡谷的右心房。导管形成有预设曲率，当展开时，两者均线性地平移并且半径增加以帮助形成斑点或连续的线性损伤。治疗心房扑动的方法采用弯曲消融导管。

4. 发明申请

US20050267332A1 Spring-tip, flexible electrode catheter for tissue ablation 有权
标题翻译：弹簧尖端，柔性电极导管用于组织消融
公开(公告)号：US20050267332A1
公开(公告)日：2005-12-01
申请号：US10856904
申请日：2004-05-27
申请人： Saurav Paul , Kedar Belhe , Hong Cao , John Roop , Chou Thao
发明人： Saurav Paul , Kedar Belhe , Hong Cao , John Roop , Chou Thao
IPC分类号： A61B18/14 , A61N1/05
CPC分类号： A61B18/1492 , A61B2018/143 , A61B2018/1435
摘要： A spring-tip, flexible electrode, and a method for using that electrode for tissue ablation, are disclosed. The spring-tip, flexible electrode comprises an enshrouded flexible electrode (e.g., an enshrouded plurality of flexible brush filaments or bristles) for applying ablative energy (e.g., RF energy) to target tissue during the formation of spot or continuous linear lesions. The spring of the spring tip may comprise compressible coils, compressible mesh, or compressible bellows, among other things. The spring provides axial suspension and is capable of axial compression and extension, and is flexible enough for deflection and bending. The axial suspension of the spring tip facilitates the desired contact between the electrode and the tissue surface. A shielded, spring-tip, flexible electrode is also disclosed, and includes a flexible nipple or shield. The spring-tip, flexible electrode facilitates enhanced tissue contact in difficult environments (e.g., during ablation of a contoured or trabeculated surface inside a beating heart) since the flexible electrode readily conforms to surface contours while the bending stress of the spring enhances the contract pressure on the tissue.
摘要翻译：公开了一种弹簧尖端，柔性电极和用于组织消融使用该电极的方法。弹簧尖端的柔性电极包括用于在形成斑点或连续的线性损伤期间向目标组织施加消融能量（例如，RF能量）的带有屏蔽的柔性电极（例如，被包围的多个柔性刷丝或刷毛）。弹簧尖端的弹簧可以包括可压缩线圈，可压缩网或可压缩波纹管等等。弹簧提供轴向悬挂并且能够轴向压缩和伸展，并且具有足够的挠性和弯曲性。弹簧顶端的轴向悬挂有助于电极和组织表面之间的所需接触。还公开了屏蔽的弹簧尖端柔性电极，并且包括柔性接头或屏蔽。弹簧尖端的柔性电极有助于在困难的环境中（例如在跳动心脏内的轮廓或小梁表面的消融期间）增强组织接触，因为柔性电极容易符合表面轮廓，同时弹簧的弯曲应力增加了收缩压力在纸巾上。

5. 发明申请

US20050273096A1 Anchoring introducer sheath with distal slots for catheter delivery and translation 审中-公开
标题翻译：锚定导管鞘与远端狭缝导管输送和翻译
公开(公告)号：US20050273096A1
公开(公告)日：2005-12-08
申请号：US11190559
申请日：2005-07-27
申请人： John Roop , Kedar Belhe , Hong Cao , Saurav Paul
发明人： John Roop , Kedar Belhe , Hong Cao , Saurav Paul
IPC分类号： A61B18/14
CPC分类号： A61B18/1492 , A61B2017/00867 , A61B2018/00273 , A61B2018/00351 , A61B2018/143 , C08L2201/12
摘要： An introducer sheath has multiple distal slots allowing for translation of a catheter within a cardiac cavity. A pair of longitudinal slots are provided on opposite sides of the sheath near the distal end. A portion of the catheter may deploy from one of the slots while the ablation tip deploys from the opposing slot. The sheath design provides greater maneuverability for the catheter in a direction orthogonal to the tissue to be ablated, while restricting lateral movement of the catheter. The longitudinal direction of the slots further aids in the formation of linear lesions using the catheter.
摘要翻译：引导器护套具有多个远端狭槽，允许导管在心腔内平移。在远端附近的护套的相对侧上设置一对纵向槽。导管的一部分可以从其中一个狭槽部署，同时消融尖端从相对的狭槽展开。护套设计为导管在与要消融的组织垂直的方向上提供更大的操纵性，同时限制导管的横向移动。槽的纵向方向进一步有助于使用导管形成线性损伤。

6. 发明申请

US20050267462A1 Anchoring introducer sheath with distal slots for catheter delivery and translation 审中-公开
公开(公告)号：US20050267462A1
公开(公告)日：2005-12-01
申请号：US10857422
申请日：2004-05-27
申请人： John Roop , Kedar Belhe , Hong Cao , Saurav Paul
发明人： John Roop , Kedar Belhe , Hong Cao , Saurav Paul
IPC分类号： A61B18/14
CPC分类号： A61B18/1492 , A61B2017/00867 , A61B2018/00273 , A61B2018/00351 , A61B2018/143 , C08L2201/12
摘要： An introducer sheath has multiple distal slots allowing for translation of a catheter within a cardiac cavity. A pair of longitudinal slots are provided on opposite sides of the sheath near the distal end. A portion of the catheter may deploy from one of the slots while the ablation tip deploys from the opposing slot. The sheath design provides greater maneuverability for the catheter in a direction orthogonal to the tissue to be ablated, while restricting lateral movement of the catheter. The longitudinal direction of the slots further aids in the formation of linear lesions using the catheter.

7. 发明申请

US20050267459A1 Curved ablation catheter 有权
标题翻译：弯曲消融导管
公开(公告)号：US20050267459A1
公开(公告)日：2005-12-01
申请号：US10856543
申请日：2004-05-27
申请人： Kedar Belhe , Saurav Paul , Hong Cao , John Roop
发明人： Kedar Belhe , Saurav Paul , Hong Cao , John Roop
IPC分类号： A61B18/14
CPC分类号： A61B18/1492 , A61B2018/00351 , A61B2018/143 , A61B2018/1475 , A61B2018/1497
摘要： A curved ablation catheter imparts ablative energy to target tissue, for example, along a trabecular slope, e.g., in the right atrium along the isthmus between the ostium of the inferior vena cava and the tricuspid valve. The catheter is formed with a preset curvature that, when deployed, both translates linearly and increases in radius to aid in the formation of spot or continuous linear lesions. A method of treating atrial flutter employs the curved ablation catheter.
摘要翻译：弯曲的消融导管向靶组织提供消融能量，例如沿着小梁斜面，例如沿着下腔静脉的口和三尖瓣之间的峡谷的右心房。导管形成有预设曲率，当展开时，两者均线性地平移并且半径增加以帮助形成斑点或连续的线性损伤。治疗心房扑动的方法采用弯曲消融导管。

8. 发明申请

US20050267461A1 Catheter electrode and rail system for cardiac ablation 有权
标题翻译：导管电极和轨道系统用于心脏消融
公开(公告)号：US20050267461A1
公开(公告)日：2005-12-01
申请号：US10857421
申请日：2004-05-27
申请人： Hong Cao , John Roop , Kedar Belhe , Saurav Paul
发明人： Hong Cao , John Roop , Kedar Belhe , Saurav Paul
IPC分类号： A61B18/14
CPC分类号： A61B18/1492 , A61B2017/00867 , A61B2018/00351 , A61B2018/143 , C08L2201/12
摘要： The instant invention is directed toward an ablation catheter and sheath incorporating wire rail system. The catheter may have a combination of rigid and flexible components to orient an ablation electrode at the distal tip toward the target tissue. The wire rail acts to guide an ablation tip along the tissue to aid in the formation of spot or continuous linear lesions on a trabecular surface, e.g., in the right atrium along the isthmus between the ostium of the inferior vena cava and the tricuspid valve.
摘要翻译：本发明涉及一种包含线轨系统的消融导管和护套。导管可以具有刚性和柔性部件的组合，以将远端处的消融电极朝向靶组织定向。线轨用于沿着组织引导消融尖端以帮助在小梁表面上形成斑点或连续的线性损伤，例如沿着下腔静脉的口和三尖瓣之间的峡部的右心房。

9. 发明申请

US20050267458A1 Side-port sheath for catheter placement and translation 失效
标题翻译：用于导管放置和翻译的侧端口护套
公开(公告)号：US20050267458A1
公开(公告)日：2005-12-01
申请号：US10856145
申请日：2004-05-27
申请人： Saurav Paul , Kedar Belhe , Hong Cao , John Roop , Chou Thao
发明人： Saurav Paul , Kedar Belhe , Hong Cao , John Roop , Chou Thao
IPC分类号： A61B5/04 , A61B5/042 , A61B18/14 , A61N1/05
CPC分类号： A61B18/1492 , A61B5/042 , A61B2018/143 , A61B2018/1475 , A61B2018/1497
摘要： Side-port sheaths for catheter placement and translation are disclosed. The sheaths include a side-port opening through which a gliding catheter may be deployed during diagnosis or treatment of tissue. The side-port sheath may include a suspension ribbon used to deploy, or that aids in the deployment of, the embedded gliding catheter. The suspension ribbon may be slideably or fixably engaged with an outer surface of the sheath of the gliding catheter.
摘要翻译：公开了用于导管放置和平移的侧端口护套。护套包括侧口开口，在组织的诊断或处理期间可以通过滑动导管展开滑动导管。侧端口护套可以包括用于部署或有助于部署嵌入式滑翔导管的悬挂带。悬挂带可以与滑动导管的护套的外表面可滑动地或可固定地接合。

10. 发明申请

US20080091192A1 Brush electrode and method for ablation 审中-公开
标题翻译：刷电极和消融方法
公开(公告)号：US20080091192A1
公开(公告)日：2008-04-17
申请号：US11953151
申请日：2007-12-10
申请人： Saurav Paul , Kedar Belhe , Hong Cao , Chou Thao
发明人： Saurav Paul , Kedar Belhe , Hong Cao , Chou Thao
IPC分类号： A61B18/14
CPC分类号： A61B18/1402 , A61B2018/143 , A61B2018/1472
摘要： A brush electrode and a method for using the brush electrode for tissue ablation are disclosed. The brush electrode comprises a plurality of flexible filaments or bristles for applying ablative energy (e.g., RF energy) to target tissue during the formation of spot or continuous linear lesions. Interstitial spaces are defined among the filaments of the brush electrode, and the interstitial spaces are adapted to direct conductive or nonconductive fluid, when present, toward the distal ends of the brush filaments. The brush electrode facilitates electrode-tissue contact in target tissue having flat or contoured surfaces. The flexible filaments may be selectively trimmed to give a desired tip configuration or a desired standoff distance between the tissue and the conductive filaments in the brush electrode. Also, the filaments may be grouped into clusters. A shielded-tip brush electrode, including a flexible boot, is also disclosed.
摘要翻译：公开了一种刷电极和使用刷电极进行组织消融的方法。刷电极包括多个柔性细丝或刷毛，用于在形成斑点或连续线性损伤期间向靶组织施加消融能量（例如RF能量）。间隙空间被限定在刷电极的细丝之间，并且间隙空间适于将导电或非导电流体（当存在时）引向刷丝的远端。刷电极促进具有平坦或轮廓表面的靶组织中的电极组织接触。可以选择性地修剪柔性细丝以给出组织和刷电极中的导电细丝之间的期望的尖端构型或期望的间隔距离。此外，丝可以分组成簇。还公开了一种包括柔性护罩的屏蔽尖刷电极。

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