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公开(公告)号：US12201352B2
公开(公告)日：2025-01-21
申请号：US17721349
申请日：2022-04-14
Inventor： D. Curtis Deno , Stephan P. Miller
IPC: A61B18/12 , A61B5/00 , A61B5/06 , A61B18/14 , A61B90/00 , A61B5/01 , A61B5/0538 , A61B17/00 , A61B18/00 , A61B18/02 , A61N7/02
Abstract: A system and method for assessing effective delivery of ablation therapy to a tissue in a body is provided. A three-dimensional anatomical map of the tissue is generated and displayed with the map defining a corresponding volume. An index is generated corresponding to a location within the volume with the index indicative of a state of ablation therapy at the location. The index may be derived from one or more factors such as the duration an ablation electrode is present at the location, the amount of energy provided, the degree of electrical coupling between an ablation electrode and the tissue at the location and temperature. A visual characteristic (e.g., color intensity) of a portion of the anatomical map corresponding to the location is then altered responsive to the index.
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公开(公告)号：US20240407839A1
公开(公告)日：2024-12-12
申请号：US18810732
申请日：2024-08-21
Inventor： Steven C. Christian , Theodore A. Johnson
Abstract: Cardiac ablation devices and systems are disclosed. A system in accordance with the present disclosure comprises an ablation generator, an electronic control unit (ECU), a control system, and a catheter. The catheter comprises at least one ablation electrode, a catheter shaft including a fluid lumen, and a plurality of thermal sensors. The ECU is configured to receive temperature measurement data from the plurality of thermal sensors, determine a power rate delivery value based on the temperature measurement data, and output the power rate delivery value. The control system is configured to receive the power rate delivery value and control energy delivery of the ablation generator based at least in part on the power rate delivery value.
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3.发明授权公开(公告)号：US11896284B2
公开(公告)日：2024-02-13
申请号：US16851441
申请日：2020-04-17
Inventor： Stephan P. Miller , Glen H. Kastner , Donald Curtis Deno
CPC classification number: A61B18/1206 , A61B18/1492 , A61B2018/00577 , A61B2018/00875 , A61B2018/165
Abstract: A catheter and patch electrode system is provided for use with an apparatus, such as an ablation generator, having a 4-wire interface for improved impedance measurement. The 4-wire interface includes a pair of source connectors across which an excitation signal is produced and a pair of sense connector wires across which the impedance is measured. The RF ablation generator may also produce an ablation signal across a source wire and an indifferent return patch electrode. The system further includes a cable that connects the generator to a catheter. The catheter includes a shaft having a proximal end and a distal end, with an ablation tip electrode disposed at the distal end. A source lead is electrically coupled to the tip electrode and extends through the shaft to the proximal end where it is terminated. An optional sense lead is also electrically coupled to the tip electrode and extends through the shaft to the proximal end. The system further includes a source return (e.g., skin patch) and a sense return (e.g., skin patch), either or none of which may be combined with the indifferent return, and if used may be placed on opposite sides of the patient for improved performance. The impedance sensor circuit produces an excitation signal across the source connectors, which is then carried to the catheter by the cable, then to the tip electrode, travels through the complex load (tissue volume), and returns to the generator via a patch electrode. The impedance is measured by observing the voltage drop across the sense connectors caused by the excitation signal.
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公开(公告)号：US11234612B2
公开(公告)日：2022-02-01
申请号：US15724704
申请日：2017-10-04
Abstract: A medical device can be localized by providing at least three non-colinear localization elements (e.g., electrodes) thereon. Once placed in a non-ionizing localization field, three adjacent localization elements, at least one of which will typically be a spot electrode, may be selected, and the non-ionizing localization field may be used to measure their locations. A cylinder is defined to fit the measured locations of the selected localization elements. The cylinder is rotationally oriented using the measured location of a spot electrode. Location and rotational attitude information may be used to construct a three-dimensional representation of the medical device within the localization field. The electrodes may be provided on the medical device or on a sheath into which the medical device is inserted. The invention also provides systems and methods for identifying and calibrating deflection planes where the medical device and/or sheath are deflectable.
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5.发明授权公开(公告)号：US11217000B2
公开(公告)日：2022-01-04
申请号：US15640944
申请日：2017-07-03
Inventor： Praveen Dala-Krishna
IPC: A61B8/08 , G06T15/02 , G06T7/80 , G06T7/33 , G06T7/12 , G06T7/00 , G06T13/20 , A61B8/12 , A61B8/00
Abstract: Methods for processing two-dimensional ultrasound images from an intracardiac ultrasound imaging catheter provide improved image quality and enable generating three-dimensional composite images of the heart. Two-dimensional ultrasound images are obtained and stored in conjunction with correlating information, such as time or an electrocardiogram. Images related to particular conditions or configurations of the heart can be processed in combination to reduce image noise and increase resolution. Images may be processed to recognize structure edges, and the location of structure edges used to generate cartoon rendered images of the structure. Structure locations may be averaged over several images to remove noise, distortions and blurring from movement.
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Patent Agency Ranking
公开(公告)号：US20210378736A1
公开(公告)日：2021-12-09
申请号：US17349654
申请日：2021-06-16
Inventor： Dale E. Just , Troy T. Tegg , Theodore A. Johnson , Sacha C. Hall
Abstract: A family of catheter electrode assemblies includes a flexible circuit having a plurality of electrical traces and a substrate; a ring electrode surrounding the flexible circuit and electrically coupled with at least one of the plurality of electrical traces; and an outer covering extending over at least a portion of the electrode. A non-contact electrode mapping catheter includes an outer tubing having a longitudinal axis, a deployment member, and a plurality of splines, at least one of the plurality of splines comprising a flexible circuit including a plurality of electrical traces and a substrate, a ring electrode surrounding the flexible circuit and electrically coupled with at least one of the plurality of electrical traces; and an outer covering extending over at least a portion of the ring electrode. A method of constructing the family of catheter electrode assemblies is also provided.
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公开(公告)号：US11154691B2
公开(公告)日：2021-10-26
申请号：US16401652
申请日：2019-05-02
Inventor： Chad A. Thorstenson , James D. Savage
Abstract: The instant invention relates generally to introducer catheters used to help deliver catheters or other medical devices to locations within the human body. In particular, the instant invention relates to large diameter introducer catheters (introducer catheters with lumens greater than about 6 French) having increased strength, flexibility, and kink resistance. Introducer catheters according to the teachings herein may also include curved distal ends and flared (that is, funnel-like) transition sections within their lumens.
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8.发明授权公开(公告)号：US11052227B2
公开(公告)日：2021-07-06
申请号：US16001677
申请日：2018-06-06
Inventor： Troy T Tegg
Abstract: A deflectable catheter shaft section is disclosed comprising an elongated body extending along a longitudinal axis and comprising a distal end and a proximal end; and a plurality of lumens extending along the longitudinal axis of the elongated body, wherein at least one of the lumens is abutting at least another one of the lumens. A catheter comprising the deflectable catheter shaft section and a method of manufacturing the deflectable catheter shaft section are also disclosed. A catheter incorporating a deflectable catheter shaft section can further comprise first and second compression coils disposed over pull wires located within the catheter, wherein the compression coils are unattached to the catheter or components thereof, but can be constrained by a shaft coupler at a distal end of each of the compression coils and by at least a portion of a handle assembly at a proximal end of each of the compression coils.
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公开(公告)号：US11000684B2
公开(公告)日：2021-05-11
申请号：US15931240
申请日：2020-05-13
Inventor： Saurav Paul , Troy T. Tegg , Israel A. Byrd , Riki Thao , Harry A. Puryear , Linda Nemec
Abstract: Catheter systems include direction-sensitive, multi-polar tip electrode assemblies for electroporation-mediated therapy, electroporation-induced primary necrosis therapy and electric field-induced apoptosis therapy, including configurations for producing narrow, linear lesions as well as distributed, wide area lesions. A monitoring system for electroporation therapy includes a mechanism for delivering electrochromic dyes to a tissue site as well as a fiber optic arrangement to optically monitor the progress of the therapy as well as to confirm success post-therapy. A fiber optic temperature sensing electrode catheter includes a tip electrode having a cavity whose inner surface is impregnated or coated with thermochromic/thermotropic material that changes color with changes in temperature. An optic fiber/detector arrangement monitors the thermochromic or thermotropic materials, acquiring a light signal and generating an output signal indicative of the spectrum of the light signal. An analyzer determines an electrode temperature based on the detector output and predetermined spectrum versus temperature calibration data.
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公开(公告)号：US10960181B2
公开(公告)日：2021-03-30
申请号：US16046376
申请日：2018-07-26
Inventor： Michael C. Bednarek , Eric J. Wilkowske , Richard E. Stehr , William E. Butler
Abstract: An apparatus for imparting a tensile force to deflect a distal portion of a catheter while maintaining its exterior dimensions may include a handle grip including a cross-section of generally predetermined exterior dimensions, and a longitudinal axis. A flexible elongate member may include proximal and distal end portions, with the proximal end portion being coupled to the handle grip. An adjustment knob may include a cross-section of generally predetermined exterior dimensions, and is rotatably coupled to the handle grip around the longitudinal axis. An elongate deflection member may be operably coupled to the adjustment knob and to the distal end portion of the elongate member. Rotation of the adjustment knob may impart a tensile force to the deflection member thereby causing the distal end portion of the elongate member to deflect from a prior configuration while maintaining the generally predetermined exterior dimensions of the handle grip and the adjustment knob.
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