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1. 发明申请

WO2005120376A2 ABLATION DEVICE WITH JAWS 审中-公开
标题翻译：具有JAWS的装置
公开(公告)号：WO2005120376A2
公开(公告)日：2005-12-22
申请号：PCT/US2005/019129
申请日：2005-06-01
申请人： MEDTRONIC, INC. , CHRISTIAN, Steven, C. , DAIGLE, Tom, P. , ROTHSTEIN, Paul, T.
发明人： CHRISTIAN, Steven, C. , DAIGLE, Tom, P. , ROTHSTEIN, Paul, T.
IPC分类号： A61B18/14
CPC分类号： A61B18/1442 , A61B18/1492 , A61B2018/00363 , A61B2018/00375 , A61B2018/00577
摘要： System, device and method for ablating target tissue adjacent pulmonary veins of a patient through an incision. An ablation device can include a hinge including a cam assembly, a moving arm, a floating jaw, and a lower jaw. Fingers can engage the floating jaw to hold the floating jaw in a first position with respect to the moving arm. Some embodiments of the invention can provide an ablation device including a central support, an upper four-bar linkage coupled to the central support, an upper jaw coupled to the upper linkage, a lower four-bar linkage coupled to the central support, and a lower jaw coupled to the lower linkage. Some embodiments of the invention can provide an ablation device having an upper jaw including a first cannula connection and a lower jaw including a second cannula connection. The system can include a first catheter coupled to the first cannula connection and a second catheter coupled to the second cannula connection. The first and second catheters can be inserted through the incision and can move the upper and lower jaws adjacent the pulmonary veins.
摘要翻译：用于通过切口消融患者的肺静脉附近的靶组织的系统，装置和方法。消融装置可以包括铰链，其包括凸轮组件，移动臂，浮动夹爪和下颚。手指可以接合浮动的颚板将浮动颚部相对于移动臂保持在第一位置。本发明的一些实施例可以提供消融装置，其包括中央支撑件，联接到中心支撑件的上部四杆连接件，联接到上部连接件的上部钳口，联接到中心支撑件的下部四杆连杆，以及下颚连接到下连杆。本发明的一些实施例可以提供一种消融装置，其具有包括第一套管连接的上颚和包括第二插管连接的下颚。该系统可以包括耦合到第一插管连接的第一导管和耦合到第二插管连接的第二导管。第一和第二导管可以穿过切口插入并且能够移动邻近肺静脉的上下爪。

2. 发明申请

WO2006007410A2 MINIMALLY INVASIVE CORING VEIN HARVESTER 审中-公开
标题翻译：最小的入侵角钢收割机
公开(公告)号：WO2006007410A2
公开(公告)日：2006-01-19
申请号：PCT/US2005/021361
申请日：2005-06-16
申请人： MEDTRONIC, INC. , BONNER, Matthew, D. , KEOGH, James, R. , BRISCOE, Roderick, E. , JOLLY, Katherine, S. , USHER, Raymond, W. , BUHR, Rebecca, A. , CHRISTIAN, Steven, C. , CLAGUE, Cynthia, T. , HOBDAY, Michael, J. , JAHNS, Scott, E. , HAARSTAD, Philip, J. , DAIGLE, Tom, P. , REETZ, Robert, H. , SANDSTROM, Jeffrey, D.
发明人： BRISCOE, Roderick, E. , JOLLY, Katherine, S. , USHER, Raymond, W. , BUHR, Rebecca, A. , CHRISTIAN, Steven, C. , CLAGUE, Cynthia, T. , HOBDAY, Michael, J. , JAHNS, Scott, E. , HAARSTAD, Philip, J. , DAIGLE, Tom, P. , REETZ, Robert, H. , SANDSTROM, Jeffrey, D.
IPC分类号： A61B17/00
CPC分类号： A61B17/22 , A61B17/00008 , A61B17/320016 , A61B17/32002 , A61B17/32053 , A61B2017/00557 , A61B2017/00778 , A61B2017/22062 , A61B2017/22068
摘要： The invention provides a system and method for harvesting a vessel section. The system comprises a vessel support member, a handle, and a tubular cutting device. The vessel support member is introduced into the vessel section to be harvested. The tubular cutting device may comprise an outer tubular member or an outer and an inner tubular member. The outer tubular member carries at least one cutting element. The tubular member or members are advanced over the vessel section and vessel support member to core out the vessel section and tissue adjoining the vessel section.
摘要翻译：本发明提供了一种收集血管部分的系统和方法。该系统包括容器支撑构件，手柄和管状切割装置。将容器支撑构件引入待收获的容器部分。管状切割装置可以包括外部管状构件或外部管状构件和内部管状构件。外部管状构件承载至少一个切割元件。管状构件在容器部分和容器支撑构件上前进，以将与容器部分相邻的容器部分和组织芯出。

3. 发明申请

WO2005120375A3 LOOP ABLATION APPARATUS AND METHOD 审中-公开
公开(公告)号：WO2005120375A3
公开(公告)日：2005-12-22
申请号：PCT/US2005/019127
申请日：2005-06-01
申请人： MEDTRONIC, INC. , CHRISTIAN, Steven, C. , FRANCISCHELLI, David, E. , PODBELISKI, Adam, A. , HAEG, Daniel, C. , DAIGLE, Tom, P. , STEINBRINK, Marie, T. , BRISCOE, Roderick, E.
发明人： CHRISTIAN, Steven, C. , FRANCISCHELLI, David, E. , PODBELISKI, Adam, A. , HAEG, Daniel, C. , DAIGLE, Tom, P. , STEINBRINK, Marie, T. , BRISCOE, Roderick, E.
IPC分类号： A61B18/14
摘要： Embodiments of the invention provide an ablation apparatus for ablating target tissue adjacent pulmonary veins of a patient. The ablation apparatus can include a tube capable of being advanced around the pulmonary veins to form a loop. The tube can receive or include electrodes to ablate target tissue. Some embodiments provide a loop ablation device, which may include a cannula and two or more electrode rods carrying two or more bipolar electrodes. The electrode rods can be advanced through the distal ends toward the proximal ends of the loop and toward the target tissue. The bipolar electrodes can receive energy to ablate the target tissue. The bipolar electrodes may be surrounded by the liquid within the cannula while ablating the target tissue. The loop ablation device can further include a rotating grasping mechanism coupled to the electrode rods.

4. 发明申请

WO2008045929A2 ABLATION ELECTRODE AND CATHETER SYSTEM 审中-公开
标题翻译：消融电极和导管系统
公开(公告)号：WO2008045929A2
公开(公告)日：2008-04-17
申请号：PCT/US2007/080929
申请日：2007-10-10
申请人： ST. JUDE MEDICAL, ATRIAL FIBRILLATION DIVISION, INC. , JUST, Dale, E. , KAUPHUSMAN, James, V. , CHRISTIAN, Steven, C.
发明人： JUST, Dale, E. , KAUPHUSMAN, James, V. , CHRISTIAN, Steven, C.
IPC分类号： A61N1/02
CPC分类号： A61B18/1492 , A61B5/042 , A61B5/0422 , A61B5/6852 , A61B18/18 , A61B18/1815 , A61B2017/00323 , A61B2018/00023 , A61B2018/00029 , A61B2018/0016 , A61B2018/00214 , A61B2018/00244 , A61B2018/00285 , A61B2018/00351 , A61B2018/00577 , A61B2018/00654 , A61B2018/00839 , A61B2018/00898 , A61B2018/00994 , A61B2018/1467 , A61B2018/1497 , A61B2018/1861 , A61B2560/066 , A61B2562/222 , A61M25/0147 , A61N7/02 , Y10T29/4913
摘要： The present invention provides various embodiments of electrodes (10) for use in connection with ablation catheters and ablation catheter systems. In an embodiment, an electrode (10) is provided that comprises an electrode body (12) including an outer surface (14), a top portion (16) and a bottom portion (18). The top portion (16) of the electrode body (12) includes an insulated portion (20) to protect adjacent tissue from ablation. The bottom portion (18) is adapted to direct energy in a downward direction towards the target tissue. Moreover, embodiments of several types of electrodes (10) and catheter assemblies, which may include positioning, orientation, protective shielding, cooling, and deflecting of surrounding tissue features (30, 38, 40, 50), whether provided individually or in various combinations, are also disclosed.
摘要翻译：本发明提供了与消融导管和消融导管系统结合使用的电极（10）的各种实施例。在一个实施例中，提供了包括电极体（12）的电极（10），所述电极体包括外表面（14），顶部部分（16）和底部部分（18）。电极体（12）的顶部（16）包括绝缘部分（20）以保护相邻组织免于烧蚀。底部（18）适于将能量朝向目标组织朝下引导。此外，几种类型的电极（10）和导管组件的实施例可以包括周围组织特征（30,38,40,50）的定位，取向，保护屏蔽，冷却和偏转，无论是单独提供还是以各种组合，也被披露。

5. 发明申请

WO2012091793A1 ABLATION ELECTRODE ASSEMBLIES AND METHODS FOR USING SAME 审中-公开
标题翻译：消除电极组件及其使用方法
公开(公告)号：WO2012091793A1
公开(公告)日：2012-07-05
申请号：PCT/US2011/059111
申请日：2011-11-03
申请人： ST. JUDE MEDICAL, ATRIAL FIBRILLATION DIVISION, INC. , CHRISTIAN, Steven, C. , HEIMBECHER, Reed, R.
发明人： CHRISTIAN, Steven, C. , HEIMBECHER, Reed, R.
IPC分类号： A61B18/18
CPC分类号： A61B18/1492 , A61B2018/00101 , A61B2018/00714 , A61B2018/00791 , A61B2218/002
摘要： Ablation electrode assemblies (10) include an inner core member (14) and an outer shell (16) surrounding the inner core member. The inner core member (14) and the outer shell (16) define a space (52) or separation region therebetween. The inner core member (14) is constructed from a thermally insulative material having a reduced thermal conductivity. In an embodiment, the space (52) is a sealed or evacuated region. In other embodiments, irrigation fluid flows within the space (52). The ablation electrode assembly (10) further includes at least one thermal sensor (28) in some embodiments. Methods for providing irrigation fluid during cardiac ablation of targeted tissue are disclosed that include calculating the energy delivered to irrigation fluid as it flows within the ablation electrode assembly (10) through temperature measurement of the irrigation fluid. Pulsatile flow of irrigation fluid can be utilized in some embodiments of the disclosure.
摘要翻译：消融电极组件（10）包括内芯构件（14）和围绕内芯构件的外壳（16）。内芯构件（14）和外壳（16）在它们之间限定空间（52）或分离区域。内芯构件（14）由具有降低的热导率的绝热材料构成。在一个实施例中，空间（52）是密封或抽空的区域。在其他实施例中，冲洗流体在空间（52）内流动。在一些实施例中，消融电极组件（10）还包括至少一个热传感器（28）。公开了用于在目标组织的心脏消融期间提供冲洗流体的方法，其包括计算通过冲洗流体的温度测量在灌洗流体在消融电极组件（10）内流动时递送给冲洗流体的能量。在本公开的一些实施例中可以使用冲洗流体的脉动流。

6. 发明申请

WO2008134651A2 APPARATUS AND METHOD FOR POSITIONING AND RETENTION OF CATHETER 审中-公开
标题翻译：用于定位和保持导管的装置和方法
公开(公告)号：WO2008134651A2
公开(公告)日：2008-11-06
申请号：PCT/US2008/061802
申请日：2008-04-28
申请人： ST. JUDE MEDICAL, ATRIAL FIBRILLATION DIVISION, INC. , CHRISTIAN, Steven, C. , PURYEAR, Harry, A. , KAUPHUSMAN, James , SUTTON, William
发明人： CHRISTIAN, Steven, C. , PURYEAR, Harry, A. , KAUPHUSMAN, James , SUTTON, William
IPC分类号： A61N1/05
CPC分类号： A61M25/0074 , A61B5/0422 , A61B34/20 , A61B90/36 , A61B2017/00053 , A61B2017/00243 , A61B2017/00703 , A61B2017/22069 , A61B2017/3486 , A61B2017/3488 , A61B2034/105 , A61B2034/2051 , A61B2034/2053 , A61M25/008 , A61M25/0082 , A61M25/04
摘要： A catheter for anchoring an electrode in a coronary sinus includes an elongate catheter body adapted to be inserted into a coronary sinus and at least one electrode on the catheter body. The elongate catheter body also includes at least one anchor movable between an undeployed configuration and a deployed configuration. When the anchor is in the undeployed configuration, the catheter may be introduced into and removed from the coronary sinus. When the anchor is in the deployed configuration, the anchor engages a tissue surface of the coronary sinus to inhibit movement between the catheter body and the coronary sinus, preferably without completely occluding the coronary sinus. The anchor may be a section of the catheter body having an expandable axial cross-section, an expandable member mounted on the catheter body, one or more wire anchors, or a flexible section of the catheter body.
摘要翻译：用于将电极锚定在冠状窦中的导管包括适于插入冠状窦中的细长导管体和导管主体上的至少一个电极。细长导管主体还包括至少一个可在未展开配置和展开配置之间移动的锚固件。当锚固件处于未部署构型时，可以将导管引入冠状窦并从冠状窦取出。当锚固件处于展开构型时，锚固体接合冠状窦的组织表面以阻止导管主体和冠状窦之间的移动，优选地不完全阻塞冠状窦。锚固件可以是具有可扩张轴向横截面的导管主体的一部分，安装在导管主体上的可扩张构件，一个或多个线锚或导管主体的柔性部分。

7. 发明申请

WO2012173673A1 IRRIGANT DISTRIBUTION SYSTEM FOR FLEXIBLE ELECTRODES 审中-公开
标题翻译：用于柔性电极的辐射分配系统
公开(公告)号：WO2012173673A1
公开(公告)日：2012-12-20
申请号：PCT/US2012/026759
申请日：2012-02-27
申请人： ST. JUDE MEDICAL, ATRIAL FIBRILLATION DIVISION, INC. , CHRISTIAN, Steven, C.
发明人： CHRISTIAN, Steven, C.
IPC分类号： A61B18/04 , A61B18/18 , A61H33/00
CPC分类号： A61B18/1492 , A61B34/20 , A61B2018/00029 , A61B2018/00101 , A61B2018/00351 , A61B2018/00702 , A61B2018/00791 , A61B2018/00797 , A61B2018/1465 , A61B2218/002
摘要： Ablation electrode assemblies 10 having a longitudinal axis 64 include an electrode core member 44; an electrode shell 46; and an irrigant distribution element 100. The electrode core member 44 comprises a thermal insulator and has a first end 48; a second end 50; and at least one irrigation passageway. The electrode shell 46 comprises an electrically conductive material, defines an inner volume, and has a first end 48; and a second end 50. The second end 50 of the electrode shell 46 is configured for connection to the first end 48 of the electrode core member 44. The electrode shell 46 is sufficiently flexible for deflection of the distal end 78 of the electrode shell 46 relative to the longitudinal axis 64 of the ablation electrode assembly 10. The irrigant distribution assembly comprises a first end; and a second end, wherein the second end of the irrigant distribution element 100 defines a circumferential irrigation port 106 between the irrigant distribution element 100 and the electrode core member 44.
摘要翻译：具有纵向轴线64的消融电极组件10包括电极芯构件44; 电极壳46; 电极芯构件44包括绝热体，并具有第一端48; 第二端50; 和至少一个灌溉通道。电极壳46包括导电材料，限定内部容积，并具有第一端48; 和第二端50.电极壳46的第二端50构造成连接到电极芯构件44的第一端48.电极壳46具有足够的柔性以使电极壳46的远端78偏转相对于消融电极组件10的纵向轴线64.冲洗剂分配组件包括第一端; 以及第二端，其中冲洗剂分配元件100的第二端在冲洗剂分配元件100和电极芯构件44之间限定圆周冲洗口106。

8. 发明申请

WO2004043267A3 SUCTION-ASSISTED TISSUE ENGAGEMENT THROUGH A MINIMALLY INVASIVE INCISION 审中-公开
公开(公告)号：WO2004043267A3
公开(公告)日：2004-05-27
申请号：PCT/US2003/035449
申请日：2003-11-05
申请人： MEDTRONIC, INC.
发明人： HAARSTAD, Philip, J. , OLIG, Christopher , ROTHSTEIN, Paul, T. , STEINBERG, William, A. , KIM, David, J., S. , DAIGLE, Thomas, P. , THOMAS, Ann, M. , ROSS, Brian, J. , CHRISTIAN, Steven, C. , REETZ, Robert, H. , HOBDAY, Michael, J.
IPC分类号： A61B17/02
摘要： Suction-assisted tissue-engaging devices, systems, and methods are disclosed that can be employed through minimal surgical incisions to engage tissue during a medical procedure through application of suction to the tissue through a suction member applied to the tissue. A shaft is introduced into a body cavity through a first incision, and a suction head is attached to the shaft via a second incision. The suction head is applied against the tissue by manipulation of the shaft and suction is applied to engage the tissue while the medical procedure is performed through the second incision. A system coupled to the shaft and a fixed reference point stabilizes the shaft and suction head. When the medical procedure is completed, suction is discontinued, the suction head is detached from the shaft and withdrawn from the body cavity through the second incision, and the shaft is retracted through the first incision.

9. 发明申请

WO2006009729A3 METHODS AND DEVICES FOR OCCLUSION OF AN ATRIAL APPENDAGE 审中-公开
公开(公告)号：WO2006009729A3
公开(公告)日：2006-01-26
申请号：PCT/US2005/021107
申请日：2005-06-16
申请人： MEDTRONIC, INC.
发明人： LUTTERMAN, Alison , ROTHSTEIN, Paul, T. , FRANCISCHELLI, David, E. , BRISCOE, Roderick, E. , LEUER, Leonard, H. , HAEG, Daniel, C. , DAIGLE, Tomas, P. , FALKNER, Philip, C. , WARMAN, Eduardo, N. , HETTRICK, Douglas, A. , STEINBRINK, Marie, T. , KIM, David, J., S. , STEWART, Mark, T. , CHRISTIAN, Steven, C. , OLIG, Christopher, P.
IPC分类号： A61B17/10 , A61B17/08
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. Other 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.

10. 发明申请

WO2008048575A2 VESSEL SUPPORT DEVICE AND METHOD OF VESSEL HARVESTING 审中-公开
标题翻译：船舶支持装置和船舶收集方法
公开(公告)号：WO2008048575A2
公开(公告)日：2008-04-24
申请号：PCT/US2007/022036
申请日：2007-10-16
申请人： MEDTRONIC, INC.
发明人： JOLLY, Katherine, S. , CLAGUE, Cynthia, T. , HOBDAY, Michael, J. , USHER, Raymond, W. , BRISCOE, Roderick, E. , BUHR, Rebecca, A. , OLIG, Christopher, P. , MEYER, Eric, A. , CHRISTIAN, Steven, C. , DAIGLE, Thomas, P. , REETZ, Robert, H. , SANDSTROM, Jeffrey, D. , KEOGH, James, R. , BONNER, Matthew, D. , JAHNS, Scott, E. , HAARSTAD, Philip, J.
IPC分类号： A61B17/3209
CPC分类号： A61B17/32 , A61B17/00008 , A61B17/3205 , A61B17/32053 , A61B2017/320064
摘要： Embodiments of the invention provide a vessel support system and a method of vessel harvesting. The system can include a cutting device, a catheter adapted to be inserted into a section of the vessel in order to support the vessel as the cutting device is advanced over the vessel, and a cannula adapted to be coupled to the vessel and adapted to receive the catheter as the catheter is inserted into the section of the vessel. The method can include orienting a cutting device coaxially with the cannula and the catheter and advancing the cutting device over the cannula, the catheter, and the section of the vessel in order to core out the section of the vessel and a portion of the surrounding tissue.
摘要翻译：本发明的实施例提供了一种血管支持系统和血管收集方法。该系统可以包括切割装置，适于插入到容器的一部分中的导管，以便当切割装置前进在容器上时支撑容器，以及适于联接到容器并适于接收的套管作为导管的导管插入血管的部分。该方法可以包括将切割装置与套管和导管同轴定向，并将切割装置推进套管，导管和容器的部分，以便将血管的一部分和周围组织的一部分。

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