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    • 4. 发明申请
    • Flexible Conductive Polymer Electrode and Method for Ablation
    • 柔性导电聚合物电极和消融方法
    • US20090163916A1
    • 2009-06-25
    • US11963430
    • 2007-12-21
    • Saurav PaulHong CaoChou Thao
    • Saurav PaulHong CaoChou Thao
    • A61B18/14
    • A61B18/1492A61B2018/00005A61B2018/00023A61B2018/00029A61B2018/00077A61B2018/00136A61B2018/00148A61B2018/00797A61B2018/00815A61B2018/00821
    • An electrode for ablation therapy includes a flexible conductive element for conducting electrical energy and a flexible conductive polymer member in electrically conductive contact with the conductive element. A catheter shaft may be coupled to the conductive element and/or the flexible conductive polymer member. The flexible conductive element may be formed as a helical coil, a mesh coating or wrap, or any other suitable form, and may surround (wholly or partially) a flexible electrically insulative, and optionally thermally conductive, member. A heat sink may be thermally coupled to at least one of the flexible conductive polymer member and the flexible electrically insulative member. The flexible electrically insulative member may include a passageway for coolant fluid to cool the electrode during ablation. The passageway may include at least one efflux hole to permit coolant fluid to flow from the passageway, or may define a closed loop.
    • 用于消融治疗的电极包括用于传导电能的柔性导电元件和与导电元件导电接触的柔性导电聚合物构件。 导管轴可以联接到导电元件和/或柔性导电聚合物构件。 柔性导电元件可以形成为螺旋线圈,网状涂层或包裹物或任何其它合适的形式,并且可以围绕(全部或部分地)柔性电绝缘和任选地导热的构件。 散热器可以热耦合到柔性导电聚合物构件和柔性电绝缘构件中的至少一个。 柔性电绝缘构件可以包括用于在消融期间冷却电极的冷却剂流体的通道。 通道可以包括至少一个排出孔,以允许冷却剂流体从通道流出,或者可以限定闭环。
    • 5. 发明申请
    • Design of ablation electrode with tactile sensor
    • 消融电极与触觉传感器的设计
    • US20080161796A1
    • 2008-07-03
    • US11647279
    • 2006-12-29
    • Hong CaoChou ThaoSaurav Paul
    • Hong CaoChou ThaoSaurav Paul
    • A61B18/18
    • A61B18/1492A61B5/6852A61B5/6885A61B2090/065
    • A catheter assembly for assessing contact between the catheter assembly and tissue is disclosed. The assembly includes a catheter shaft and a pressure sensitive conductive composite member whose electrical resistance varies with pressure applied to the catheter assembly. The assembly also includes at least one measurement terminal to permit the measurement of changes in the electrical characteristics of the pressure sensitive conductive composite member. The assembly may optionally include a measurement device to measure resistance, impedance and/or other electrical characteristics. The assembly may utilize a reference electrode secured to the patient's tissue, which permits the measurement device to measure changes between the reference electrode and the at least one measurement terminal. Optionally, the assembly may include a conductive outer layer. Also disclosed are sensor assemblies, contact sensor, methods of contact sensing, and methods of manufacturing relating to the use of pressure sensitive conductive composites.
    • 公开了一种用于评估导管组件和组织之间的接触的导管组件。 组件包括导管轴和压力敏感的导电复合构件,其电阻随着施加到导管组件的压力而变化。 组件还包括至少一个测量端子,以允许测量压敏导电复合构件的电特性的变化。 组件可以可选地包括测量电阻,阻抗和/或其他电特性的测量装置。 组件可以利用固定到患者组织的参考电极,其允许测量装置测量参考电极和至少一个测量终端之间的变化。 可选地,组件可以包括导电外层。 还公开了传感器组件,接触传感器,接触感测方法以及与使用压敏导电复合材料有关的制造方法。
    • 6. 发明申请
    • Brush electrode and method for ablation
    • 刷电极和消融方法
    • US20080091192A1
    • 2008-04-17
    • US11953151
    • 2007-12-10
    • Saurav PaulKedar BelheHong CaoChou Thao
    • Saurav PaulKedar BelheHong CaoChou Thao
    • A61B18/14
    • A61B18/1402A61B2018/143A61B2018/1472
    • 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.
    • 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。
    • 7. 发明授权
    • Spring-tip, flexible electrode catheter for tissue ablation
    • 弹簧尖端,柔性电极导管用于组织消融
    • US07311704B2
    • 2007-12-25
    • US10856904
    • 2004-05-27
    • Saurav PaulKedar Ravindra BelheHong CaoJohn Avi RoopChou Thao
    • Saurav PaulKedar Ravindra BelheHong CaoJohn Avi RoopChou Thao
    • A61B18/18
    • A61B18/1492A61B2018/143A61B2018/1435
    • 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.
    • 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。
    • 10. 发明授权
    • Coated hypodermic needle
    • 涂层皮下注射针
    • US08255035B2
    • 2012-08-28
    • US11967518
    • 2007-12-31
    • Hong CaoSaurav PaulChou Thao
    • Hong CaoSaurav PaulChou Thao
    • A61B5/042
    • A61B17/3478A61B18/1477A61B2017/00247A61B2017/00256A61B2018/00392A61B2018/00839A61B2018/1425A61B2034/2051
    • A needle for a medical procedure includes a shaft with an inner surface, an outer surface, a proximal section, and a distal section. The distal section has a conductive tip configured to be a first electrode for voltage measurement. The needle further includes a first electrically insulative outer layer over a portion of the outer surface of the shaft. The conductive tip is adapted for insertion through tissue into, for example, a pericardial space of a patient. A system for determining the location of a needle during a medical procedure includes the needle and an anatomical mapping and localization system electrically coupled to the needle and adapted to measure voltage at the conductive tip. A system for determining tissue thickness during a medical procedure includes the needle, an anatomical mapping and localization system electrically coupled to the needle, and an electrocardiograph operatively coupled to the needle and adapted to monitor electrical activity at the conductive tip and at the second electrode. The needle may include a second electrode.
    • 用于医疗程序的针包括具有内表面的轴,外表面,近侧部分和远侧部分。 远侧部分具有被配置为用于电压测量的第一电极的导电尖端。 针还包括在轴的外表面的一部分上的第一电绝缘外层。 导电尖端适于将组织插入到例如患者的心包空间中。 用于在医疗过程中确定针的位置的系统包括针和解耦映射和定位系统,其电耦合到针并且适于测量导电尖端处的电压。 用于在医疗过程中确定组织厚度的系统包括针,电耦合到针的解剖学映射和定位系统以及可操作地耦合到针并且适于监测导电尖端和第二电极处的电活动的心电图仪。 针可以包括第二电极。