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公开(公告)号:US20240407836A1
公开(公告)日:2024-12-12
申请号:US18712122
申请日:2022-11-21
Applicant: CARDIOFOCUS, INC.
Inventor: Steven D. Girouard , Krista N. Hagfors , Robert E. Neal, II , Quim Castellvi
Abstract: Devices, systems and methods are provided for treating conditions of the heart, particularly the occurrence of arrhythmias, more particularly atrial fibrillation. Therapeutic pulsed electric field energy is delivered to portions the heart to provide tissue modification, particularly to the entrances to the pulmonary veins in the treatment of atrial fibrillation. Such tissue modification creates a lesion or series of lesions which act as a conduction block within the tissue to prevent the transmission of aberrant electrical signals. Cardiovascular lesion analysis systems and methods provide information related to the effectiveness of the treatment during the procedure so as to create an electrical blockade within the heart that will remain durable and effective long-term.
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公开(公告)号:US20240197395A1
公开(公告)日:2024-06-20
申请号:US18393371
申请日:2023-12-21
Applicant: CARDIOFOCUS, INC.
Inventor: Gerald Melsky , Brian Estabrook , Lincoln Baxter , Sergei Babko-Malyi , Ronald Green , Paul DiCesare
IPC: A61B18/18 , A61B17/00 , A61B17/22 , A61B17/32 , A61B18/00 , A61B18/20 , A61B18/22 , A61B18/24 , A61B34/10 , A61B90/00 , A61B90/30
CPC classification number: A61B18/18 , A61B17/320068 , A61B18/1815 , A61B18/24 , A61B2017/00017 , A61B2017/00128 , A61B2017/00247 , A61B17/22012 , A61B2017/22069 , A61B2017/320069 , A61B2017/320098 , A61B2018/00196 , A61B2018/00208 , A61B2018/00232 , A61B2018/00351 , A61B2018/00577 , A61B2018/0066 , A61B2018/00684 , A61B2018/00702 , A61B2018/00761 , A61B2018/00785 , A61B2018/00839 , A61B2018/00898 , A61B2018/00904 , A61B2018/00982 , A61B2018/1823 , A61B2018/1861 , A61B2018/2025 , A61B2018/20357 , A61B2018/20361 , A61B2018/20553 , A61B2018/2272 , A61B2018/2277 , A61B34/10 , A61B2034/107 , A61B90/30 , A61B2090/306 , A61B90/361 , A61B2090/3614 , A61B90/37
Abstract: An ablation instrument (e.g., an ablation balloon catheter system) includes an elongate catheter having a housing with a window formed therein. An energy emitter is coupled to the elongate catheter and is configured to deliver ablative energy. A controller is received within the window and is coupled to the energy emitter such that axial movement of the controller within the window is translated to axial movement of the energy emitter and rotation of the controller within the window is translated into rotation of the energy emitter. The instrument includes a motor that is at least partially disposed within the housing of the catheter; a first gear that is operatively connected to and driven by the motor; and a second gear that is coupled to the energy emitter and is driven by the first gear to cause rotation of the energy emitter, while allowing the energy emitter to move axially.
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公开(公告)号:US20220323143A1
公开(公告)日:2022-10-13
申请号:US17711574
申请日:2022-04-01
Applicant: CardioFocus, Inc.
Inventor: Gerald Melsky , Brian Estabrook , Burke Barrett , Jeff Brown , Lincoln Baxter , Kevin Zephir , Curtis Keohane , Omar Colon
Abstract: A method for ablating target tissue includes the steps of: (a) delivering an ablation balloon catheter to the target tissue, wherein the ablation balloon catheter includes a compliant balloon, a visualization device; and an electrode array that is visible to the visualization device, each electrode being configured to deliver ablation energy, wherein the electrode array is independently movable relative to the compliant balloon; (b) isolating the target tissue such that at least one electrode of the electrode array is in contact with the target tissue; and (c) delivering the ablation energy to those electrodes of the electrode array that are confirmed, using the visualization device, to be in contact with target tissue.
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公开(公告)号:US20220249164A1
公开(公告)日:2022-08-11
申请号:US17590950
申请日:2022-02-02
Applicant: CardioFocus, Inc.
Inventor: Gerald Melsky , Lincoln Baxter , Omar Colon
Abstract: An ablation catheter that includes a shaft having a distal end and a balloon coupled to the shaft. The balloon has an inner surface and an opposite outer surface. The inner surface has a proximal region including a proximal balloon end, a main center region, and a distal region including a distal balloon end. The ablation catheter also includes an energy emitter disposed inside the balloon and being configured to move both axially and rotationally within the inside of the balloon. The ablation catheter includes a thermally resistant coating disposed along the inner surface of the balloon within at least the main center region of the inner surface of the balloon. The thermally resistant coating is formed of a material selected from a group consisting of: silicone rubber, polyisoprene, polyurethane.
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公开(公告)号:US20170156793A1
公开(公告)日:2017-06-08
申请号:US15380637
申请日:2016-12-15
Applicant: CardioFocus, Inc.
Inventor: Gerald Melsky , Jeffrey M. Arnold , Edward L. Sinofsky , Norman E. Farr
CPC classification number: A61B18/1492 , A61B1/00045 , A61B1/00135 , A61B1/00165 , A61B1/00195 , A61B1/05 , A61B1/3137 , A61B18/1482 , A61B18/1815 , A61B18/22 , A61B18/24 , A61B2018/0022 , A61B2018/00351 , A61B2018/00375 , A61B2018/00577 , A61B2018/00982 , A61B2018/0212 , A61B2018/0262 , A61B2018/2261 , A61B2090/065 , A61B2090/3966 , A61N7/022 , A61N2005/1003
Abstract: Guided ablation instruments are disclosed for creating lesions in tissue, especially cardiac tissue for treatment of arrhythmias, including atrial fibrillation. In one aspect of the invention, a percutaneous catheter is disclosed with an endoscope positionable in the instrument's distal end region to obtain an image. The image allows the clinician to determine whether contact has been achieved (or blood has been cleared from an ablative energy transmission path) before ablation begins or while ablation is occurring. In one embodiment, percutaneous ablation catheters are disclosed having at least one central lumen and one or more balloon structures at the distal end region of the instrument. Also disposed in the distal end region are an illuminating light source and an endoscope capable of collecting sufficient light to relay an image to the user. The instruments can further include an ablation element. The ablation element can be a contact ablation element, or a radiant energy emitter, which is preferably independently positionable within the lumen of the instrument and adapted to project ablative energy through a transmissive region of the instrument body (and/or balloon) to a target tissue site proximate to the pulmonary veins. The energy can delivered without the need for contact between the energy emitter and the target tissue so long as a clear transmission pathway is established. The endoscope element of the instrument allows the clinician to determine the position of the instrument and, if radiant energy is to be employed, see if such a pathway is clear. Moreover, because the position of the radiant energy emitter can be varied, endoscopic guidance permits the clinician to select a desired location and dose for the lesion.
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公开(公告)号:US20040147912A1
公开(公告)日:2004-07-29
申请号:US10756660
申请日:2004-01-13
Applicant: CARDIOFOCUS, INC.
Inventor: Edward L. Sinofsky
IPC: A61B018/24
CPC classification number: A61B18/22 , A61B18/1492 , A61B18/24 , A61B2017/00057 , A61B2017/00243 , A61B2017/22058 , A61B2017/22059 , A61B2018/00577 , A61B2018/00642 , A61B2018/00839 , A61B2018/2238 , A61B2018/2261 , A61B2018/2272 , A61B2018/2288 , A61M25/0105 , A61N7/02
Abstract: An apparatus and method are disclosed for ablation of diseased tissue. The method includes introducing a flexible elongate member into a predetermined tissue site with a flexible elongate member having a proximal end, a distal end and a longitudinal first lumen extending therebetween. A slidable conductor is positioned through the lumen proximate to the tissue site and energy is transmitted to the distal end of the elongate member through the conductor. A deflection member fixedly attached to the distal end of the elongate member can be manipulated to cause the distal end of the elongate member to bend. The target tissue is ablated, coagulated or photochemically modulated without damaging surrounding tissue. The apparatus can be energy transparent and include deflection members to manipulate distal portions of the apparatus. Suitable types of energy for ablation include ultrasound and laser energy.
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公开(公告)号:US20240325066A1
公开(公告)日:2024-10-03
申请号:US18622232
申请日:2024-03-29
Applicant: CARDIOFOCUS, INC.
Inventor: Judy Syrkin-Nikolau , Jacob I. Laughner , David W. Hunter
IPC: A61B18/00
CPC classification number: A61B18/00 , A61B2018/00267 , A61B2018/00297 , A61B2018/00577 , A61B2018/00613 , A61B2018/00642 , A61B2018/00678 , A61B2018/00732 , A61B2018/00761 , A61B2018/00767 , A61B2018/00839 , A61B2018/00875 , A61B2018/00898
Abstract: A treatment catheter is part of a system that includes a local impedance indicator that is displayed on a display. The local impedance indicator displays relative changes in impedance to the user in order to quickly communicate information that helps the user better understand where in the heart chamber the catheter is located.
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公开(公告)号:US11484692B2
公开(公告)日:2022-11-01
申请号:US17024269
申请日:2020-09-17
Applicant: CardioFocus, Inc.
Inventor: Sergei Babko-Malyi , Brian Estabrook , Gerald Melsky , Richard Thompson
IPC: A61M25/10
Abstract: A method for maintaining a balloon of a balloon catheter at a prescribed pressure of between about 0.2 psi and 1 psi comprises the step of: generating a vacuum within a reservoir defined in a burette that is part of a fluid management system that is configured to controllably inflating and deflating the balloon by circulating balloon fill media along a fluid circuit, wherein generating the vacuum results in formation of a pressure differential along the fluid circuit, thereby allowing the balloon to be maintained at the prescribed pressure between about 0.2 psi and about 1 psi.
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公开(公告)号:US11413089B2
公开(公告)日:2022-08-16
申请号:US16578295
申请日:2019-09-21
Applicant: CardioFocus, Inc.
Inventor: Omer Peled , Anthony Jason Mirabito
IPC: A61B18/12 , A61B18/14 , A61B18/24 , A61B18/02 , A61B18/20 , A61B18/22 , A61B18/00 , A61B5/0538 , A61F7/12
Abstract: A catheter device provides a balloon structure and a side-firing laser lumen within the balloon to create lesions in the pulmonary vein (PV) in the treatment of atrial fibrillation. Mounted on the balloon so as to contact the PV when the balloon is inflated are one or more electrodes which may be used in a measurement mode, a treatment mode, or both.
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公开(公告)号:US11246476B2
公开(公告)日:2022-02-15
申请号:US16259483
申请日:2019-01-28
Applicant: CardioFocus, Inc.
Inventor: Gerald Melsky
IPC: A61B1/04 , A61B1/06 , A61B5/00 , A61B18/20 , A61B18/00 , A61B17/00 , A61B1/00 , A61B90/00 , A61B90/30
Abstract: A system is provided for identifying the sufficiency of lesions formed during a tissue ablation procedure. The system and method include administering an ICG composition to the patient and forming one or more lesions at a surgical site. The method further includes applying energy of a type and in an amount sufficient to cause ICG in the patient to fluoresce. An image of the tissue and lesion at the surgical site is obtained while the ICG fluoresces. The lesion is distinguished from surrounding de novo tissue based on areas of fluorescence to allow a user to evaluate the quality of the lesion.
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