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    Vacuum coagulation probe for atrial fibrillation treatment
    2.
    发明申请
    Vacuum coagulation probe for atrial fibrillation treatment 有权

    公开(公告)号：US20060009762A1

    公开(公告)日：2006-01-12

    申请号：US11096205

    申请日：2005-03-30

    申请人： James Whayne

    发明人： James Whayne

    IPC分类号： A61B18/14

    CPC分类号： A61B18/1492 ,  A61B18/1206 ,  A61B2018/00029 ,  A61B2018/00291 ,  A61B2018/00351 ,  A61B2018/00607 ,  A61B2218/002 ,  A61B2218/007

    摘要： An embodiment of the invention includes a surgical device for coagulating soft tissue such as atrial tissue in the treatment of atrial fibrillation, atrial flutter, and atrial tachycardia. The surgical device can include at least one elongate member comprising conductive elements adapted to coagulate soft tissue when radiofrequency or direct current energy is transmitted to the conductive elements. Openings through said conductive elements are routed through lumens in the elongate member to a vacuum source to actively engage the soft tissue surface intended to coagulate into intimate contact with the conductive elements to facilitate the coagulation process and ensure the lesions created are consistent, contiguous, and transmural. The embodiments of the invention can also incorporate cooling openings positioned near the conductive elements and coupled with a vacuum source or an injection source to transport fluid through the cooling openings causing the soft tissue surface to cool thus pushing the maximum temperature deeper into tissue. The embodiments of the invention can also incorporate features to tunnel between anatomic structures or dissect around the desired tissue surface to coagulate thereby enabling less invasive positioning of the soft tissue coagulating device and ensuring reliable and consistent heating of the soft tissue.

    Methods and system for tissue cavity closure
    5.
    发明申请
    Methods and system for tissue cavity closure 有权
    组织腔闭合的方法和系统

    公开(公告)号：US20060020162A1

    公开(公告)日：2006-01-26

    申请号：US11155338

    申请日：2005-06-17

    申请人： James Whayne ,  Sidney Fleischman

    发明人： James Whayne ,  Sidney Fleischman

    IPC分类号： A61F13/00

    CPC分类号： A61B17/0469 ,  A61B17/0401 ,  A61B17/0643 ,  A61B17/10 ,  A61B17/122 ,  A61B17/1285 ,  A61B2017/00243 ,  A61B2017/00349 ,  A61B2017/0404 ,  A61B2017/0406 ,  A61B2017/0472 ,  A61B2017/0647

    摘要： Surgical systems for less invasive access to and isolation of an atrial appendage are provided. A suturing grasper compresses soft tissue structures and deploys one or more sutures through complimentary pledget(s) carried by the grasper. The pledgets are reinforced, containing support members that define the profile of the stitch and distribute stresses applied by the stitch, once tightened, over a length of tissue. This hardware may be applicable to other surgical and catheter based applications as well including: compressing soft tissue structures lung resections and volume reductions; gastric procedures associated with reduction in volume, aneurysm repair, vessel ligation, or other procedure involving isolation of, resection of, and reduction of anatomic structures.

    摘要翻译： 提供了外科手术系统，用于较少侵入性地获取和分离心房附件。 缝合抓紧器压缩软组织结构，并通过由抓紧器携带的补充剂来部署一个或多个缝合线。 这些绒毛被加强，包含支撑构件，其限定针迹的轮廓并且在一段长度的组织上分布一次紧固后分配针迹施加的应力。 该硬件可以适用于其他基于外科和导管的应用，包括：压缩软组织结构肺切除术和体积减少; 与体积减少相关的胃手术，动脉瘤修复，血管结扎或涉及分离，切除和减少解剖结构的其它手术。

    Systems for heart treatment
    6.
    发明申请
    Systems for heart treatment 审中-公开
    心脏治疗系统

    公开(公告)号：US20050197692A1

    公开(公告)日：2005-09-08

    申请号：US11120470

    申请日：2005-05-02

    申请人： Suresh Pai ,  Nicanor Domingo ,  James Whayne

    发明人： Suresh Pai ,  Nicanor Domingo ,  James Whayne

    IPC分类号： A61B17/00 ,  A61B17/04 ,  A61B17/064 ,  A61F2/00 ,  A61F2/24 ,  A61N1/18

    CPC分类号： A61F2/2451 ,  A61B17/00234 ,  A61B17/0401 ,  A61B17/0487 ,  A61B17/064 ,  A61B2017/00243 ,  A61B2017/0412 ,  A61B2017/0461 ,  A61B2017/0462 ,  A61B2017/048 ,  A61B2017/0496 ,  A61F2/2478 ,  A61F2002/249

    摘要： Described are devices and methods for treating degenerative, congestive heart disease and related valvular dysfunction. Percutaneous and minimally invasive surgical tensioning structures offer devices that mitigate changes in the ventricular structure (i.e., remodeling) and deterioration of global left ventricular performance related to tissue damage precipitating from ischemia, acute myocardial infarction (AMI) or other abnormalities. These tensioning structures can be implanted within various major coronary blood-carrying conduit structures (arteries, veins and branching vessels), into or through myocardium, or into engagement with other anatomic structures that impact cardiac output to provide tensile support to the heart muscle wall which resists diastolic filling pressure while simultaneously providing a compressive force to the muscle wall to limit, compensate or provide therapeutic treatment for congestive heart failure and/or to reverse the remodeling that produces an enlarged heart.

    摘要翻译： 描述了用于治疗退行性，充血性心脏病和相关瓣膜功能障碍的装置和方法。 经皮和微创手术张紧结构提供减轻心肌结构变化（即重塑）和与局部缺血，急性心肌梗塞（AMI）或其他异常引起的组织损伤相关的全球左心室功能恶化的装置。 这些张紧结构可以植入到各种主要的冠状血管导管结构（动脉，静脉和分支血管）内或通过心肌，或者与影响心输出量的其他解剖结构接合以向心肌壁提供拉伸支撑， 抵抗舒张期充盈压力，同时向肌肉壁提供压缩力以限制，补偿或提供充血性心力衰竭的治疗性治疗和/或逆转产生增大的心脏的重塑。

    Methods of coagulating tissue
    8.
    发明申请
    Methods of coagulating tissue 有权
    凝固组织的方法

    公开(公告)号：US20060206113A1

    公开(公告)日：2006-09-14

    申请号：US11433248

    申请日：2006-05-12

    申请人： James Whayne ,  Sidney Fleischman

    发明人： James Whayne ,  Sidney Fleischman

    IPC分类号： A61B18/14

    CPC分类号： A61B18/1492 ,  A61B2018/00029 ,  A61B2018/00077 ,  A61B2018/00291 ,  A61B2018/00351 ,  A61B2018/00363 ,  A61B2018/00577 ,  A61B2018/00613 ,  A61B2018/1435 ,  A61B2018/1465 ,  A61B2218/002 ,  A61B2218/007

    摘要： An embodiment of the invention includes a surgical device for coagulating soft tissue such as atrial tissue in the treatment of atrial fibrillation, atrial flutter, and atrial tachycardia; tendon or ligament shrinkage; or articular cartilage removal. The surgical device integrates a suction mechanism with the coagulation mechanism improving the lesion creation capabilities of the device. The surgical device comprises an elongate member having an insulative covering attached about conductive elements capable of coagulating soft tissue when radiofrequency or direct current energy is transmitted to the conductive elements. Openings through the insulative covering expose regions of the conductive elements and are coupled to lumens in the elongate member which are routed to a vacuum source. Suction causes the soft tissue to actively engage the opening thus the integrated, exposed conductive elements to facilitate the coagulation process and ensure the lesions created are consistent, continuous, and transmural. The embodiments of the invention can also incorporate cooling mechanisms associated with the conductive elements and coupled to a fluid source to passively transport fluid along the contacted soft tissue surface to cool thus pushing the maximum temperature deeper into tissue.

    摘要翻译： 本发明的一个实施例包括用于在治疗心房颤动，心房扑动和心房心动过速中凝固软组织例如心房组织的手术装置; 腱或韧带收缩; 或关节软骨清除。 手术装置将抽吸机构与凝固机构相结合，改善了装置的病变创造能力。 手术装置包括细长构件，其具有绝缘覆盖物，该绝缘覆盖物围绕能够在射频或直流能量传递到导电元件时使软组织凝结的导电元件附近。 穿过绝缘覆盖物的开口暴露导电元件的区域，并且连接到被延伸到真空源的细长构件中的腔。 抽吸使得软组织积极地接合开口，从而使整合的暴露的导电元件有助于凝固过程，并确保所产生的损伤是一致的，连续的和透壁的。 本发明的实施例还可以包括与导电元件相关联的冷却机构并且耦合到流体源，以沿被接触的软组织表面被动地输送流体，从而将最大温度推到组织中。