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    MULTI-PURPOSE CATHETER APPARATUS AND METHOD OF USE
    13.
    发明申请
    MULTI-PURPOSE CATHETER APPARATUS AND METHOD OF USE 审中-公开
    多用途导管装置及其使用方法

    公开(公告)号：WO2004100813A2

    公开(公告)日：2004-11-25

    申请号：PCT/US2004/014224

    申请日：2004-05-07

    Applicant: MEDTRONIC, INC. ,  STEWART, Mark, T. ,  FIEDLER, Gary, R. ,  SANDSTONE, Jeffrey, D.

    Inventor： STEWART, Mark, T. ,  FIEDLER, Gary, R. ,  SANDSTONE, Jeffrey, D.

    IPC: A61B18/14

    CPC classification number: A61B18/1492 ,  A61B10/0233 ,  A61B2018/00011 ,  A61B2018/1407 ,  A61B2018/1435 ,  A61B2218/002

    Abstract: According to the present invention, a catheter having at least one multi-purpose lumen formed through the catheter terminates proximal a relatively complex-shaped distal portion thereof. In one form of this embodiment, the relatively complex-shaped distal portion comprises a looped portion having diagnostic- and/or ablation-type electrodes coupled thereto and an elongated diameter-adjusting member coupled proximal the distal end of the looped portion. The multi-purpose lumen may be used to alternately accommodate a variety of dedicated materials; such as, (i) a guide wire for initial deployment or later repositioning of the catheter, (ii) a volume or flow of a contrast media and the like, (iii) a deployable hollow needle or tube and the like used to biopsy adjacent tissue or dispense a therapeutic agent into a volume of tissue, and (iv) a cooling fluid, such as saline solution and the like dispensed at least during therapeutic tissue ablation procedures.

    Abstract translation: 根据本发明，具有通过导管形成的至少一个多用途腔的导管终止于其相对复杂形状的远端部分的近端。 在该实施例的一种形式中，相对复杂形状的远侧部分包括具有耦合到其上的诊断和/或消融型电极的环形部分和在环形部分的远端附近耦合的细长直径调节构件。 多用途腔可用于交替容纳各种专用材料; 例如，（i）用于初始部署或稍后重新定位导管的导丝，（ii）造影剂等的体积或流动，（iii）用于活检相邻的可展开的空心针或管等 组织或将治疗剂分配到一定体积的组织中，和（iv）至少在治疗性组织消融过程期间分配的冷却液，例如盐水溶液等。

    SUB-XIPHOID ABLATION CLAMP AND METHOD OF SUB-XIPHOID ABLATION
    14.
    发明申请
    SUB-XIPHOID ABLATION CLAMP AND METHOD OF SUB-XIPHOID ABLATION 审中-公开
    子切除术和子切除术的方法

    公开(公告)号：WO2010132254A1

    公开(公告)日：2010-11-18

    申请号：PCT/US2010/033719

    申请日：2010-05-05

    Applicant: MEDTRONIC INC. ,  STEWART, Mark, T. ,  DIAGLE, Tom, P. ,  FRANCISCHELLI, David, E. ,  LIDDICOAT, John, R. ,  ROTHSTEIN, Paul, T.

    Inventor： STEWART, Mark, T. ,  DIAGLE, Tom, P. ,  FRANCISCHELLI, David, E. ,  LIDDICOAT, John, R. ,  ROTHSTEIN, Paul, T.

    IPC: A61B18/14

    CPC classification number: A61B18/1445 ,  A61B1/00087 ,  A61B1/05 ,  A61B1/06 ,  A61B34/20 ,  A61B2017/00057 ,  A61B2017/2945 ,  A61B2018/00107 ,  A61B2018/00142 ,  A61B2018/0022 ,  A61B2018/00375 ,  A61B2018/00982 ,  A61B2018/1432 ,  A61N1/362

    Abstract: Device for sub-xiphoid ablation of patient tissue. A sub-xiphoid access clamp has a handle, an elongate neck coupled to the handle and first and second opposing jaws. The first and second opposing jaws have first and second opposing relief segments being generally co-planar and concave with respect to one another to form a void therebetween, and first and second opposing elongate ablation elements positioned along the first and second opposing jaws and distal of the first and second opposing relief segments relative to the handle. The first and second opposing jaws are articulate between a closed position and an open position to admit, at least in part, a second portion of tissue of the patient within the void created by the first and second opposing relief segments while the first portion of tissue is positioned between the first and second ablation elements in the closed position.

    Abstract translation: 用于患者组织的亚剑突消融的装置。 副剑杆通道夹具具有手柄，连接到手柄的细长颈部以及第一和第二相对的夹爪。 第一和第二相对的钳口具有第一和第二相对的浮雕段，它们大致共面并相对于彼此凹入以在它们之间形成空隙，并且第一和第二相对的细长消融元件沿着第一和第二相对的夹爪定位， 第一和第二相对的释放段相对于把手。 第一和第二相对的夹爪在关闭位置和打开位置之间铰接，以至少部分地允许患者在由第一和第二相对的浮雕段产生的空隙内的组织的第二部分，同时组织的第一部分 位于第一和第二消融元件之间处于关闭位置。

    TISSUE LESION EVALUATION
    18.
    发明申请
    TISSUE LESION EVALUATION 审中-公开
    组织评估

    公开(公告)号：WO2009140359A2

    公开(公告)日：2009-11-19

    申请号：PCT/US2009043751

    申请日：2009-05-13

    Applicant: MEDTRONIC INC ,  STEWART MARK T ,  FRANCISCHELLI DAVID E ,  HONG JINBACK

    Inventor： STEWART MARK T ,  FRANCISCHELLI DAVID E ,  HONG JINBACK

    IPC: A61B18/14

    CPC classification number: A61B18/1445 ,  A61B2018/00029 ,  A61B2018/00065 ,  A61B2018/00113 ,  A61B2018/0016 ,  A61B2018/00357 ,  A61B2018/00363 ,  A61B2018/00577 ,  A61B2018/00839 ,  A61B2018/1472 ,  A61B2090/064 ,  A61B2218/002

    Abstract: Device, system and method for ablating tissue of a heart of a patient. The tissue is clamped between a pair of opposing jaws. A portion of the tissue is ablated at a first generally linear position on the tissue by applying ablative energy to two of a plurality of elongate electrodes, each of the two of the plurality of elongate electrodes being coupled in opposing relationship to each other and the pair of opposing jaws, respectively. An effectiveness of the ablation is sensed at a second generally linear position on the tissue with at least one of the plurality of elongate electrodes positioned on one of the pair of opposing jaws. The second linear position on the tissue is laterally distal to the first linear position on the tissue with respect to the atrium of the heart.

    Abstract translation: 用于消除患者心脏的组织的装置，系统和方法。 将组织夹在一对相对的夹爪之间。 通过向多个细长电极中的两个施加烧蚀能量，组织的一部分在组织上的第一大致线性位置被消融，多个细长电极中的每一个彼此相对地相互耦合，并且该对 的对颚分别。 在组织上的第二大致直线位置处感测消融的有效性，其中多个细长电极中的至少一个位于一对相对的夹爪中的一个上。 组织上的第二线性位置相对于心脏的心房横向远离组织上的第一线性位置。

    TRANSMURAL ABLATION SYSTEMS AND METHODS
    20.
    发明申请
    TRANSMURAL ABLATION SYSTEMS AND METHODS 审中-公开
    传递系统和方法

    公开(公告)号：WO2008011575A1

    公开(公告)日：2008-01-24

    申请号：PCT/US2007/073995

    申请日：2007-07-20

    Applicant: MEDTRONIC, INC. ,  HONG, Jinback ,  FRANCISCHELLI, David, E. ,  STEWART, Mark, T.

    Inventor： HONG, Jinback ,  FRANCISCHELLI, David, E. ,  STEWART, Mark, T.

    IPC: A61B18/12 ,  A61B17/00

    CPC classification number: A61B18/1206 ,  A61B5/053 ,  A61B5/7203 ,  A61B2018/00666 ,  A61B2018/00678 ,  A61B2018/00702 ,  A61B2018/00708 ,  A61B2018/00875

    Abstract: A method of applying ablation energy to achieve transmurality including applying ablation energy at a starting power to a tissue site and monitoring the impedance of the tissue site. The power applied to the tissue site can be increased in response to detection of a power plateau or application of a first power for a minimum time according to some embodiments. A power applied to the tissue site can be reduced in response to an increase in impedance according to some embodiments. Transmurality can be indicated in response to a transmurality plateau following a rise in impedance according to some embodiments.

    Abstract translation: 一种施加消融能量以实现透视性的方法，包括以起始功率对组织部位施加消融能量并监测组织部位的阻抗。 根据一些实施例，施加到组织部位的功率可以响应于功率平台的检测或最小时间的应用而增加。 根据一些实施例，响应于阻抗的增加，施加到组织部位的功率可以减小。 根据一些实施例，可以响应于阻抗上升之后的透壁平台来指示透明度。

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