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公开(公告)号:US20180036075A1
公开(公告)日:2018-02-08
申请号:US15784647
申请日:2017-10-16
Applicant: Kardium Inc.
Inventor: Daniel GELBART , Douglas Wayne GOERTZEN , Fernando Luis de Souza LOPES
Abstract: A device positionable in a cavity of a bodily organ (e.g., a heart) may discriminate between fluid (e.g., blood) and non-fluid tissue (e.g., wall of heart) to provide information or a mapping indicative of a position and/or orientation of the device in the cavity. Discrimination may be based on flow, or some other characteristic, for example electrical permittivity or force. The device may selectively ablate portions of the non-fluid tissue based on the information or mapping. The device may detect characteristics (e.g., electrical potentials) indicative of whether ablation was successful. The device may include a plurality of transducers, intravascularly guided in an unexpanded configuration and positioned proximate the non-fluid tissue in an expanded configuration. Expansion mechanism may include helical member(s) or inflatable member(s).
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公开(公告)号:US20180036074A1
公开(公告)日:2018-02-08
申请号:US15784555
申请日:2017-10-16
Applicant: Kardium Inc.
Inventor: Daniel GELBART , Douglas Wayne GOERTZEN , Fernando Luis de Souza LOPES
Abstract: A device positionable in a cavity of a bodily organ (e.g., a heart) may discriminate between fluid (e.g., blood) and non-fluid tissue (e.g., wall of heart) to provide information or a mapping indicative of a position and/or orientation of the device in the cavity. Discrimination may be based on flow, or some other characteristic, for example electrical permittivity or force. The device may selectively ablate portions of the non-fluid tissue based on the information or mapping. The device may detect characteristics (e.g., electrical potentials) indicative of whether ablation was successful. The device may include a plurality of transducers, intravascularly guided in an unexpanded configuration and positioned proximate the non-fluid tissue in an expanded configuration. Expansion mechanism may include helical member(s) or inflatable member(s).
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93.
公开(公告)号:US09867703B2
公开(公告)日:2018-01-16
申请号:US14955544
申请日:2015-12-01
Applicant: Kardium Inc.
Inventor: Jonathan Dahlgren , Douglas Goertzen , Daniel Gelbart , Kelly Watkinson , Derrick To
CPC classification number: A61F2/2445 , A61B17/00234 , A61B17/0469 , A61B17/0482 , A61B17/0487 , A61B2017/00243 , A61B2017/003 , A61B2017/00411 , A61B2017/00783 , A61B2017/00867 , A61B2017/0409 , A61B2017/0437 , A61B2017/0441 , A61B2017/045 , A61B2017/0464 , A61B2017/0496 , A61B2017/22038 , A61F2/2466 , A61F2210/0014 , A61F2220/0016 , A61F2230/0091
Abstract: A device, kit and method may employ an implantable device (e.g., annuloplasty implant) and a tool to implant such. The implantable device is positionable in a cavity of a bodily organ (e.g., a heart) and operable to constrict a bodily orifice (e.g., a mitral valve). Tissue anchors are guided into precise position by an intravascularly deployed anchor guide frame and embedded in an annulus. Constriction of the orifice may be accomplished via a variety of structures, for example by cinching a flexible cable or anchored annuloplasty ring, the cable or ring attached to the tissue anchors. The annuloplasty ring may be delivered in a generally elongated configuration, and implanted in an anchored generally arch, arcuate or annular configuration. Such may move a posterior leaflet anteriorly and an anterior leaflet posteriorly, improving leaflet coaptation to eliminate mitral regurgitation.
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公开(公告)号:US20180008343A1
公开(公告)日:2018-01-11
申请号:US15697744
申请日:2017-09-07
Applicant: Kardium Inc.
Inventor: Daniel GELBART , Samuel Victor LICHTENSTEIN
IPC: A61B18/14 , A61B5/01 , A61B5/0205 , A61B5/028 , A61B18/10 , A61B5/027 , A61B18/08 , A61B5/00 , A61B18/12 , A61B18/00 , A61B18/20 , A61B18/18 , A61B18/02
CPC classification number: A61B18/1492 , A61B5/015 , A61B5/02055 , A61B5/027 , A61B5/028 , A61B5/6853 , A61B5/6858 , A61B5/743 , A61B18/02 , A61B18/082 , A61B18/10 , A61B18/18 , A61B18/20 , A61B34/10 , A61B34/25 , A61B90/37 , A61B2018/0016 , A61B2018/0022 , A61B2018/00267 , A61B2018/00351 , A61B2018/00357 , A61B2018/00577 , A61B2018/00642 , A61B2018/00714 , A61B2018/00791 , A61B2018/00875 , A61B2018/0212 , A61B2018/0237 , A61B2018/124 , A61B2018/1407 , A61B2034/101 , A61B2562/046
Abstract: An intra-cardiac mapping system is based on locating the ports through which blood flows in or out the heart chambers. For many procedures, such as ablation to cure atrial fibrillation, locating the pulmonary veins and the mitral valve accurately allows to perform a Maze procedure. The location of the ports and valves is based on using the convective cooling effect of the blood flow. The mapping can be performed by a catheter-deployed expandable net or a scanning catheter. The same net or catheter can also perform the ablation procedure.
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公开(公告)号:US09820810B2
公开(公告)日:2017-11-21
申请号:US14713190
申请日:2015-05-15
Applicant: Kardium Inc.
Inventor: Daniel Gelbart , Douglas Wayne Goertzen , Fernando Luis de Souza Lopes
CPC classification number: A61B18/1492 , A61B5/06 , A61B5/065 , A61B5/4875 , A61B18/18 , A61B18/20 , A61B2018/00214 , A61B2018/00351 , A61B2018/00577 , A61B2018/00702 , A61B2018/00791 , A61B2018/025
Abstract: A medical system includes an expandable structure and a first flexible circuit. The expandable structure is sized to be received in a chamber of a heart and is selectively moveable between a delivery configuration and an expanded configuration. The expandable structure includes a plurality of metal strips. The first flexible circuit includes a first flexible electrically insulative substrate and a plurality of electrically conductive traces patterned on the first flexible electrically insulative substrate. A portion of the first flexible circuit is patterned to form at least a first transducer element, and at least a part of the first flexible circuit is at least positioned between two of the plurality of metal strips that contact the first flexible circuit when the expandable structure is in the expanded configuration.
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公开(公告)号:US09526573B2
公开(公告)日:2016-12-27
申请号:US13782889
申请日:2013-03-01
Applicant: Kardium Inc.
Inventor: Fernando Lopes , Saar Moisa , Jorge Jaramillo , Douglas Goertzen , Peter Hawes , Ashkan Sardari , Calvin Dane Cummings , Aldo Antonio Salvestro
IPC: A61B5/0408 , A61B18/14 , A61B5/042 , A61B5/053 , A61M25/00 , A61B5/00 , A61B5/026 , A61B5/06 , A61B18/00
CPC classification number: A61B18/00 , A61B5/026 , A61B5/0422 , A61B5/0538 , A61B5/06 , A61B5/065 , A61B5/6843 , A61B5/6858 , A61B18/1492 , A61B2018/0016 , A61B2018/00267 , A61B2018/00351 , A61B2018/00357 , A61B2018/00577 , A61B2018/00791 , A61B2018/00839 , A61B2018/00863 , A61B2018/00875 , A61B2090/065 , A61M25/0074 , A61M25/0082
Abstract: Systems, methods, and devices allow intravascular or percutaneous mapping, orientation or ablation, or combinations thereof in bodily cavities or lumens. A device includes a plurality of elongate members which are moveable between an unexpanded configuration, a bent or coiled stack configuration and an expanded or fanned configuration. The elongate members form a stack arrangement in the unexpanded configuration to fit through a catheter sheath, The elongate members follow respective arcuate or curvilinear paths as advanced from the sheath into the bent or coiled stack configuration, adopting volute, scroll or rho shapes, and may be nested. The elongated members are fanned or radially spaced circumferentially with respect to one another into the expanded or fanned configuration. Transducers carried by elongate members may sense various physiological characteristics of or proximate tissue, for instance temperature, and/or may apply energy to or proximate tissue, for example to perform ablation. The device is retractable.
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公开(公告)号:US20160128772A1
公开(公告)日:2016-05-12
申请号:US15000491
申请日:2016-01-19
Applicant: Kardium Inc.
CPC classification number: A61B34/25 , A61B5/01 , A61B5/026 , A61B5/042 , A61B5/0422 , A61B5/053 , A61B5/0538 , A61B5/6858 , A61B5/6869 , A61B5/743 , A61B5/7435 , A61B18/1206 , A61B18/1233 , A61B18/14 , A61B18/1492 , A61B2017/00199 , A61B2018/00267 , A61B2018/00351 , A61B2018/00357 , A61B2018/00363 , A61B2018/00577 , A61B2018/00642 , A61B2018/00648 , A61B2018/00708 , A61B2018/00797 , A61B2018/00839 , A61B2018/00863 , A61B2018/00875 , A61B2018/00892 , A61B2018/00904 , A61B2018/00988 , A61B2018/124 , A61B2034/254 , A61N1/362 , A61N1/37264 , G06F3/0482 , G06F3/04842
Abstract: Transducer-based systems and methods may be configured to display a graphical representation of a transducer-based device, the graphical representation including graphical elements corresponding to transducers of the transducer-based device, and also including between graphical elements respectively associated with a set of the transducers and respectively associated with a region of space between the transducers of the transducer-based device. Selection of graphical elements and/or between graphical elements can cause activation of the set of transducers associated with the selected elements. Transducer activation characteristics, such as initiation time, activation duration, activation sequence, and energy delivery characteristics, can vary based on numerous factors. Visual characteristics of graphical elements and between graphical elements can change based on an activation-status of the corresponding transducers. Activation requests for a set of transducers can be denied if it is determined that a transducer in the set of transducers is unacceptable for activation.
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公开(公告)号:US20150223791A1
公开(公告)日:2015-08-13
申请号:US14694521
申请日:2015-04-23
Applicant: Kardium Inc.
Inventor: Samuel LICHTENSTEIN
CPC classification number: A61B17/0057 , A61B17/00234 , A61B17/068 , A61B17/08 , A61B17/10 , A61B2017/00477 , A61B2017/00557 , A61B2017/00579 , A61B2017/00592 , A61B2017/0061 , A61B2017/00623 , A61B2017/00668 , A61B2017/22068 , A61B2017/2927 , A61B2090/08021
Abstract: A device for closing at least one opening leading to an anatomical cavity is delivered via a catheter positioned in a first opening leading to the anatomical cavity. An orientation control unit is positioned within the anatomical cavity. The orientation control unit defines an orientation of a portion of a tissue surface within the anatomical cavity that is skewed with respect to the first opening and orients a closure member of the device with the tissue surface. An occluding member and a constricting unit of the device are positioned within the anatomical cavity with the occluding member blocking a portion of an opening that is constricted by the constricting unit. An intermediate member of the device is positioned within the anatomical cavity and a closure unit employing at least one piercing element pierces through the intermediate member into a tissue wall surrounding the anatomical cavity.
Abstract translation: 用于关闭通向解剖腔的至少一个开口的装置经由定位在通向解剖腔的第一开口中的导管递送。 定向控制单元位于解剖腔内。 取向控制单元限定解剖腔内的组织表面的一部分相对于第一开口倾斜并使组织表面的封闭构件定向。 装置的闭塞构件和收缩单元定位在解剖腔内,阻塞构件阻塞由收缩单元收缩的开口的一部分。 装置的中间构件定位在解剖腔内,并且使用至少一个刺穿元件的闭合单元穿过中间构件穿过围绕解剖腔的组织壁。
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99.
公开(公告)号:US20140213894A1
公开(公告)日:2014-07-31
申请号:US14229250
申请日:2014-03-28
Applicant: Kardium Inc.
Inventor: Daniel Gelbart , Douglas Wayne Goertzen , Fernando Luis de Souza Lopes
CPC classification number: A61B18/1492 , A61B5/06 , A61B5/065 , A61B5/4875 , A61B18/18 , A61B18/20 , A61B2018/00214 , A61B2018/00351 , A61B2018/00577 , A61B2018/00702 , A61B2018/00791 , A61B2018/025
Abstract: A device positionable in a cavity of a bodily organ (e.g., a heart) may discriminate between fluid (e.g., blood) and non-fluid tissue (e.g., wall of heart) to provide information or a mapping indicative of a position and/or orientation of the device in the cavity. Discrimination may be based on flow, or some other characteristic, for example electrical permittivity or force. The device may selectively ablate portions of the non-fluid tissue based on the information or mapping. The device may detect characteristics (e.g., electrical potentials) indicative of whether ablation was successful. The device may include a plurality of transducers, intravascularly guided in an unexpended configuration and positioned proximate the non-fluid tissue in an expanded configuration. Expansion mechanism may include helical member(s) or inflatable member(s).
Abstract translation: 可以在身体器官(例如心脏)的空腔中定位的装置可以区分流体(例如血液)和非流体组织(例如,心脏壁),以提供信息或指示位置和/或 器件在腔中的取向。 歧视可以基于流量或其他一些特性,例如电容率或力。 该装置可以基于信息或映射来选择性地烧蚀非流体组织的部分。 该装置可以检测指示消融是否成功的特征(例如,电位)。 该装置可以包括多个换能器,以未膨胀的构造血管内引导并且以扩张构型定位在非流体组织附近。 膨胀机构可以包括螺旋构件或可膨胀构件。
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公开(公告)号:US20130310827A1
公开(公告)日:2013-11-21
申请号:US13792670
申请日:2013-03-11
Applicant: KARDIUM INC.
IPC: A61B18/12
CPC classification number: A61B34/25 , A61B5/01 , A61B5/026 , A61B5/042 , A61B5/0422 , A61B5/053 , A61B5/0538 , A61B5/6858 , A61B5/6869 , A61B5/743 , A61B5/7435 , A61B18/1206 , A61B18/1233 , A61B18/14 , A61B18/1492 , A61B2017/00199 , A61B2018/00267 , A61B2018/00351 , A61B2018/00357 , A61B2018/00363 , A61B2018/00577 , A61B2018/00642 , A61B2018/00648 , A61B2018/00708 , A61B2018/00797 , A61B2018/00839 , A61B2018/00863 , A61B2018/00875 , A61B2018/00892 , A61B2018/00904 , A61B2018/00988 , A61B2018/124 , A61B2034/254 , A61N1/362 , A61N1/37264 , G06F3/0482 , G06F3/04842
Abstract: Transducer-based systems can be configured to display a graphical representation of a transducer-based device, the graphical representation including graphical elements corresponding to transducers of the transducer-based device, and also including between graphical elements respectively associated with a set of the transducers and respectively associated with a region of space between the transducers of the transducer-based device. Selection of graphical elements and/or between graphical elements can cause activation of the set of transducers associated with the selected elements. Selection of a plurality of graphical elements and/or between graphical elements can cause visual display of a corresponding activation path in the graphical representation. Visual characteristics of graphical elements and between graphical elements can change based on an activation-status of the corresponding transducers. Activation requests for a set of transducers can be denied if it is determined that a transducer in the set of transducers is unacceptable for activation.
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