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1. 发明申请

WO2008045929A3 ABLATION ELECTRODE AND CATHETER SYSTEM 审中-公开
标题翻译：吸引电极和导管系统
公开(公告)号：WO2008045929A3
公开(公告)日：2008-08-14
申请号：PCT/US2007080929
申请日：2007-10-10
申请人： ST JUDE MEDICAL ATRIAL FIBRILL , 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： A61B18/14
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：本发明提供了用于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，提供了一种电极（10），其包括包括外表面（14），顶部（16）和底部（18）的电极体（12）。电极体（12）的顶部（16）包括绝缘部分（20），用于保护邻近的组织免受消融。底部（18）适于将能量向下朝向目标组织引导。此外，几种类型的电极（10）和导管组件的实施例可以包括定位，定向，保护屏蔽，冷却和周围组织特征（30,38,40,50）的偏转，无论是单独地还是以各种组合提供，也被披露。

2. 发明申请

WO2008045877A2 ELECTRODE TIP AND ABLATION SYSTEM 审中-公开
标题翻译：电极提取和吸收系统
公开(公告)号：WO2008045877A2
公开(公告)日：2008-04-17
申请号：PCT/US2007080817
申请日：2007-10-09
申请人： ST JUDE MEDICAL ATRIAL FIBRILL , 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： An electrode tip (10) for an ablation catheter (50) comprising an electrode carrier (20); a first electrode (30) provided at a distal portion (22) of the electrode carrier (20), the first electrode (30) adapted to direct energy in a forward longitudinal direction; and a second (e.g., side-firing) electrode (40) provided at a side portion of the electrode carrier (20), the second electrode (40) adapted to direct energy in a lateral direction. In an embodiment the first and second electrodes (30, 40) can be selectively activated. Other embodiments of electrode tips (10) that provide ablative elements that are directed laterally are also disclosed. Moreover, embodiments of several types of electrode tips (10), which may include positioning, orientation, irrigating, cooling, and deflecting features, whether provided individually or in various combinations, are also disclosed.
摘要翻译：一种用于消融导管（50）的电极头（10），包括电极载体（20）; 设置在所述电极载体（20）的远端部分（22）处的第一电极（30），所述第一电极（30）适于在向前纵向引导能量; 以及设置在所述电极载体（20）的侧部的第二（例如侧面烧制）电极（40），所述第二电极（40）适于沿横向方向引导能量。在一个实施例中，可以选择性地激活第一和第二电极（30,40）。还公开了提供横向定向的烧蚀元件的电极尖端（10）的其它实施例。此外，还公开了可以包括定位，取向，冲洗，冷却和偏转特征的几种类型的电极头（10）的实施例，无论单独地还是以各种组合提供。

3. 发明申请

WO2008045936A3 STEERABLE SHORT SHEATH ACCESS DEVICE 审中-公开
标题翻译：可操纵的短鞘接入装置
公开(公告)号：WO2008045936A3
公开(公告)日：2008-10-09
申请号：PCT/US2007080939
申请日：2007-10-10
申请人： ST JUDE MEDICAL ATRIAL FIBRILL , KAUPHUSMAN JAMES V , FUENTES ALLAN , TEGG TROY , JUST DALE E
发明人： KAUPHUSMAN JAMES V , FUENTES ALLAN , TEGG TROY , JUST DALE E
IPC分类号： A61B18/14
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 relates to steerable access sheath assembly (12). Moreover, the present invention relates to a steerable short sheath access device (10) for use in epicardial procedures. Embodiments of the present invention including shorter steerable access sheaths or introducers (10, 12) may provide epicardial access for various ablation tools and devices for the performance of various ablation procedures or procedures involving alternate energy sources. The steerable access device (10) provides an elongated member (20) having a proximal section (26) and a distal section (28), wherein the deflection of the distal section (28) provides a primary curve including an inner radius (r1) that result in a secondary curve of proximal section (26) having an inner radius (r2, r3), wherein the inner radius of curvature (r1) of the primary curve is less than the inside radius of curvature (r2, r3) of the secondary curve.
摘要翻译：本发明涉及可转向的进入护套组件（12）。此外，本发明涉及一种用于心外膜手术的可转向短鞘套进入装置（10）。包括较短的可转向进入护套或导引器（10,12）的本发明的实施例可为各种消融工具和设备提供心外膜通路，以进行涉及替代能量源的各种消融程序或程序。可转向进入装置（10）提供具有近侧区段（26）和远侧区段（28）的细长构件（20），其中远侧区段（28）的偏转提供包括内半径（r1）的主曲线，这导致具有内径（r2，r3）的近侧部分（26）的次级曲线，其中主曲线的内曲率半径（r1）小于内曲率半径（r2，r3）的内曲率半径（r2，r3）二次曲线。

4. 发明申请

WO2008045938A3 CIRCUIT FOR A CATHETER OR SHEATH AND METHOD OF FORMING SAME 审中-公开
标题翻译：导管或套管的电路及其形成方法
公开(公告)号：WO2008045938A3
公开(公告)日：2008-06-26
申请号：PCT/US2007080945
申请日：2007-10-10
申请人： ST JUDE MEDICAL ATRIAL FIBRILL , KAUPHUSMAN JAMES V , FUENTES ALLAN , TEGG TROY , JUST DALE E
发明人： KAUPHUSMAN JAMES V , FUENTES ALLAN , TEGG TROY , JUST DALE E
IPC分类号： A61B18/14
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： A circuit (10, 110, 210) configured for connecting an electrode (28, 126, 228) to a catheter or sheath is disclosed. The circuit (10, 110, 210) includes a member (12, 112, 212) having a longitudinal axis (14, 214) and configured to extend along at least a portion of the length of the catheter or sheath. The circuit (10, 110, 210) further includes a trace (16, 116, 230) printed on the member (12, 112, 212), where the trace (16, 116, 230) includes at least a longitudinal segment (18, 118) extending generally along at least a portion of the longitudinal axis (14, 214) and a transverse segment (20, 120) extending generally transverse to the longitudinal axis (14, 214). In an embodiment, the circuit further includes a pad (26, 126, 226) integral with and extending from the circuit (10, 110, 210) proximal the transverse segment (20, 120) of the trace (16, 116, 230). A catheter or sheath assembly comprising the circuit (10, 110, 210) and an electrode (28, 126, 228) connected to the circuit (10, 110, 210) is also disclosed. A method of forming a catheter or sheath assembly is also provided.
摘要翻译：公开了一种配置用于将电极（28,126,228）连接到导管或护套的电路（10,110,210）。电路（10,110,210）包括具有纵向轴线（14,214）并且被配置为沿着导管或护套的至少一部分长度延伸的构件（12,112,212）。所述电路（10,110,210）还包括印刷在所述构件（12,112,212）上的迹线（16,116,230），其中所述迹线（16,116,230）包括至少一个纵向片段，大体上沿着所述纵向轴线（14,214）的至少一部分延伸，以及横向段（20,120），所述横向段大致横向于所述纵向轴线（14,214）延伸。在一个实施例中，电路还包括与迹线（16,116,230）的横向段（20,120）近侧的电路（10,110,210）一体并从电路（10,110,210）延伸的焊盘（26,126,226）。还公开了包括电路（10,110,210）和连接到电路（10,110,210）的电极（28,126,228）的导管或护套组件。还提供了形成导管或护套组件的方法。

5. 发明申请

WO2012068505A1 ELECTRODE CATHETER DEVICE WITH INDIFFERENT ELECTRODE FOR DIRECT CURRENT TISSUE THERAPIES 审中-公开
标题翻译：用于直接电流组织治疗的具有不同电极的电极导管装置
公开(公告)号：WO2012068505A1
公开(公告)日：2012-05-24
申请号：PCT/US2011061475
申请日：2011-11-18
申请人： ST JUDE MEDICAL ATRIAL FIBRILL , GRASSE MARTIN MAITRE , STEHR RICHARD E , BYRD ISRAEL ALEXANDER , CLARK LYNN ELEANOR , DENO D CURTIS , TEGG TROY T , KAUPHUSMAN JAMES V , PAUL SAURAV , SCHWEITZER JEFFREY A
发明人： GRASSE MARTIN MAITRE , STEHR RICHARD E , BYRD ISRAEL ALEXANDER , CLARK LYNN ELEANOR , DENO D CURTIS , TEGG TROY T , KAUPHUSMAN JAMES V , PAUL SAURAV , SCHWEITZER JEFFREY A
IPC分类号： A61B18/04
CPC分类号： A61B18/16 , A61B5/042 , A61B18/1492 , A61B2018/00357 , A61B2018/00613 , A61B2018/00791 , A61B2018/1435 , A61B2018/162 , A61M25/0147 , A61M2025/0681
摘要： An electrode catheter device with indifferent electrode for direct current tissue therapies is disclosed. An example of the catheter device has a flexible tubing with at least one ablation electrode. The catheter device also may also be used with a sheath for introducing the flexible tubing inside a patient's body. An indifferent electrode on the sheath can provide a ground for a direct current (DC) pulse to deliver electrical energy and create an electrical field adjacent a tissue. Various other embodiments are also disclosed.
摘要翻译：公开了一种具有用于直流组织治疗的无电极的电极导管装置。导管装置的示例具有带有至少一个消融电极的柔性管。导管装置还可以与用于将柔性管引入患者体内的护套一起使用。护套上的无电极可以为直流（DC）脉冲提供接地，以传递电能并在组织附近产生电场。还公开了各种其它实施例。

6. 发明申请

WO2012150974A2 SENSOR ASSEMBLY TETHERED WITHIN CATHETER WALL 审中-公开
标题翻译：传感器组件安装在导管壁内
公开(公告)号：WO2012150974A2
公开(公告)日：2012-11-08
申请号：PCT/US2012023353
申请日：2012-01-31
申请人： ST JUDE MEDICAL ATRIAL FIBRILL , HALL SACHA C , TEGG TROY T , MONAHAN BRIAN M , GONZALEZ SALOME A , KAUPHUSMAN JAMES V
发明人： HALL SACHA C , TEGG TROY T , MONAHAN BRIAN M , GONZALEZ SALOME A , KAUPHUSMAN JAMES V
IPC分类号： A61B5/05
CPC分类号： A61B19/5244 , A61B5/062 , A61B5/063 , A61B5/065 , A61B5/068 , A61B34/20 , A61B2017/00526 , A61B2017/00867 , A61B2034/2051 , A61B2562/0223 , A61M25/001 , A61M25/0127 , A61M2025/0166 , A61M2207/00 , Y10T156/10
摘要： A distal tip assembly 40 for an elongate medical device 10 having an axis comprises a shaft having a proximal end portion, a distal end portion, a wall, and a central lumen extending axially between said proximal end portion 20 and said distal end portion 18. The distal tip assembly 40 further comprises a position sensor 26 disposed in an outer sleeve 28 such that the sensor 26 can shift relative to the sleeve 28. The sleeve 28 is disposed at least in part in the wall and is substantially fixed thereto.
摘要翻译：用于具有轴线的细长医疗装置10的远侧末端组件40包括具有近端部分，远端部分，壁和在所述近端部分20和所述远端部分18之间轴向延伸的中心腔的轴。远侧末端组件40还包括设置在外部套筒28中的位置传感器26，使得传感器26可以相对于套筒28移动。套筒28至少部分地设置在壁中并且基本上固定在其上。

7. 发明申请

WO2009082597A9 TISSUE ANCHORING CATHETER SYSTEMS AND METHODS 审中-公开
标题翻译：组织锚固导管系统和方法
公开(公告)号：WO2009082597A9
公开(公告)日：2010-09-10
申请号：PCT/US2008085261
申请日：2008-12-02
申请人： ST JUDE MEDICAL ATRIAL FIBRILL , KAUPHUSMAN JAMES V , BYRD ISRAEL A , PAUL SAURAV
发明人： KAUPHUSMAN JAMES V , BYRD ISRAEL A , PAUL SAURAV
IPC分类号： A61M5/32
CPC分类号： A61M25/04 , A61B2018/00797 , A61B2018/00815 , A61B2018/00821 , A61B2090/065 , A61M25/0084 , A61M2025/0089 , A61M2025/0095
摘要： Catheter systems and methods are disclosed for anchoring the catheter system (10) to tissue (25), e.g., for delivery of biologic or chemical agents, or other therapeutic fluid during various procedures. An exemplary tissue anchoring catheter comprises an outer catheter shaft (16) connected to a catheter handle (12). A delivery sheath (18) is provided within the outer catheter shaft (16), the delivery sheath (18) housing a needle (20). At least one anchor (27, 28) is operatively associated with the delivery sheath (18), the at least one anchor operable at the catheter handle (12) to secure the delivery sheath (18) to tissue (25) for conveying biologic or chemical agents, or other therapeutic fluid from the needle (20) to the tissue (25). The tissue anchoring catheter may further comprise sensing means (55) such as piezoelectric, pressure, thermistor, thermocouple, or ultrasound sensors.
摘要翻译：公开了用于将导管系统（10）锚定到组织（25）的导管系统和方法，例如用于在各种程序期间递送生物或化学试剂或其它治疗液体。示例性组织锚定导管包括连接到导管手柄（12）的外导管轴（16）。输送鞘（18）设置在外导管轴（16）内，输送护套（18）容纳针（20）。至少一个锚固件（27,28）与输送护套（18）可操作地相关联，所述至少一个锚固件可在导管手柄（12）处操作以将输送护套（18）固定到组织（25），用于输送生物或化学试剂或从针（20）到组织（25）的其它治疗液。组织锚定导管还可以包括诸如压电，压力，热敏电阻，热电偶或超声传感器的感测装置（55）。

8. 发明申请

WO2014011367A2 SYSTEM AND METHOD FOR COUPLING A TUBE WITH A MEDICAL DEVICE HANDLE 审中-公开
标题翻译：用于将管与医疗装置手柄联接的系统和方法
公开(公告)号：WO2014011367A2
公开(公告)日：2014-01-16
申请号：PCT/US2013046368
申请日：2013-06-18
申请人： ST JUDE MEDICAL ATRIAL FIBRILL
发明人： SENARITH PATRICK , KAUPHUSMAN JAMES V , SYED ASIM , STERRETT TERRY , WU KIRK
IPC分类号： A61M39/10
CPC分类号： A61M39/10 , A61B5/0422 , A61B18/1492 , A61B2034/2051 , A61M25/0009 , A61M25/0097 , A61M25/0136 , A61M2025/09116 , A61M2039/1094
摘要： An elongate medical device handle may comprise a body defining an interior, an exterior, and a connector port extending between the interior and the exterior and defining an axis. The connector port comprises a portion having a polygonal cross-section taken transverse to the axis. In an embodiment, the polygonal cross-section may comprise a star shape. In an embodiment, a connector, such as a fluid connector, may be secured in the connector port using an adhesive.
摘要翻译：细长的医疗装置手柄可以包括限定内部，外部和在内部和外部之间延伸并且限定轴线的连接器端口的主体。连接器端口包括具有横向于轴线的多边形横截面的部分。在一个实施例中，多边形横截面可以包括星形。在一个实施例中，诸如流体连接器的连接器可以使用粘合剂固定在连接器端口中。

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