公开(公告)号：US5916158A

公开(公告)日：1999-06-29

申请号：US965694

申请日：1997-11-07

Applicant: Wilton W. Webster, Jr.

Inventor： Wilton W. Webster, Jr.

IPC: A61B5/0408 ,  A61B5/0402 ,  A61B5/042 ,  A61B5/0478 ,  A61B5/0492 ,  A61B18/14 ,  A61N1/05 ,  A61N1/06

CPC classification number: A61B5/6855 ,  A61B18/1492 ,  A61B5/0422 ,  A61N1/056 ,  A61N1/0565 ,  A61N1/06 ,  A61B2018/1497 ,  A61B2562/0209 ,  A61B2562/046

Abstract: An electrode catheter for cardiac electrophysiology. An elongated body suitable for intravascular insertion surrounds a plurality of electrode lead wires. A composite electrode comprises a plurality of tip electrodes and defines a margin along a proximal edge. Each tip electrode is electrically connected to an associated electrode lead wire and is adjacent to another tip electrode on at least one side along an axis of the elongated body. Each tip electrode is separated from the another tip electrode by insulation. A cup electrode is electrically connected to an associated electrode lead wire and defines a cavity shaped to overlap the margin of the composite electrode. The cup electrode is fixedly secured to the composite electrode and to a distal end of the elongated body and is separated from the composite electrode by insulation.

Abstract translation: 用于心脏电生理的电极导管。 适于血管内插入的细长体围绕着多个电极引线。 复合电极包括多个尖端电极并且沿着近侧边界限定边缘。 每个尖端电极电连接到相关联的电极引线，并且沿着细长主体的轴线在至少一侧上与另一个尖端电极相邻。 每个尖端电极通过绝缘与另一个尖端电极分离。 杯状电极电连接到相关联的电极引线并且限定成形为与复合电极的边缘重叠的空腔。 杯状电极牢固地固定在复合电极和细长体的远端，并通过绝缘与复合电极分离。

公开(公告)号：US5893885A

公开(公告)日：1999-04-13

申请号：US742352

申请日：1996-11-01

Applicant: Wilton W. Webster, Jr.

Inventor： Wilton W. Webster, Jr.

IPC: A61B18/12 ,  A61B17/00 ,  A61B18/04 ,  A61B18/14 ,  A61B17/36

CPC classification number: A61B18/1492 ,  A61B2017/00097 ,  A61B2017/003 ,  A61B2018/00351 ,  A61B2018/00577 ,  A61B2018/00654 ,  A61B2018/00797 ,  A61B2018/00821 ,  A61B2018/1253 ,  A61B2018/126 ,  A61B2018/1467

Abstract: A multi-electrode ablation catheter comprises a plurality of thick-walled gold alloy electrodes mounted on the tip section of an elongated electrophysiology catheter. Each electrode is electrically connected to a switching unit by leads comprising paired copper and constantan wires. The switching unit is electrically connected to an RF generator, a temperature monitor and an ECG monitor. The switching unit enables an operator to switch between a first mode for monitoring ECG and a second mode for delivering RF energy for tissue ablation to a selected electrode and monitoring the temperature of that electrode. The copper wire of the lead delivers RF energy and the copper wire and constantan wire combine to form a thermocouple for temperature monitoring.

Abstract translation: 多电极消融导管包括安装在细长电生理导管的尖端部分上的多个厚壁金合金电极。 每个电极通过包括成对铜和康铜线的引线电连接到开关单元。 开关单元电连接到RF发生器，温度监视器和ECG监视器。 开关单元使得操作者能够在用于监测ECG的第一模式和用于将用于组织消融的RF能量递送到所选择的电极并监测该电极的温度的第二模式之间切换。 引线的铜线提供RF能量，铜线和康铜线组合形成用于温度监测的热电偶。

公开(公告)号：US5772590A

公开(公告)日：1998-06-30

申请号：US486395

申请日：1995-06-07

Applicant: Wilton W. Webster, Jr.

Inventor： Wilton W. Webster, Jr.

IPC: A61B5/042 ,  A61B18/00 ,  A61B18/14 ,  A61N1/05 ,  A61B5/0402

CPC classification number: A61B5/6858 ,  A61B5/0422 ,  A61N1/056 ,  A61B2018/00041 ,  A61B2018/0016 ,  A61B2018/1465 ,  A61B2562/0209 ,  A61B2562/043

Abstract: A catheter for cardiac mapping includes a tubular catheter shaft having a proximal end, a distal end, and a lumen, the lumen being optionally closed at the distal end. The catheter further includes a plurality of flexible arms which can bow outwardly to form a three-dimensional shape, such as a basket shape. These arms have distal and proximal ends, optionally have a semi-circular cross-sectional shape, and are connected at their proximal ends to the distal end of the catheter shaft. Each arm carries at least one electrode, an electrode lead wire electrically connected to each electrode carried on the arm, and a tubular sheath surrounding the lead wires. The catheter further includes a distal fitting fixing the distal ends of the arms together and a puller wire extending through the lumen. The puller wire comprises a distal end attached to the distal fitting and a proximal end extending out of the proximal end of the catheter shaft whereby the basket shape is expanded outwardly when a force directed in the proximal direction is applied to the puller wire. An electronic recorder can be electrically connected to the electrodes for electrically recording electric signals received by the electrodes.

Abstract translation: 用于心脏作图的导管包括具有近端，远端和内腔的管状导管轴，所述内腔在远端可选地封闭。 导管还包括多个可向外弯曲以形成诸如篮状的三维形状的柔性臂。 这些臂具有远端和近端，可选地具有半圆形横截面形状，并且在其近端处连接到导管轴的远端。 每个臂承载至少一个电极，电连接到在臂上承载的每个电极的电极引线和围绕引线的管状护套。 导管还包括将臂的远端固定在一起的远端配件和延伸穿过内腔的拉线。 拉线包括附接到远端配件的远端和从导管轴的近端延伸出来的近端，由此当朝向近侧方向的力施加到拉线时，篮形状向外扩展。 电子记录器可以电连接到电极，用于电记录由电极接收的电信号。

公开(公告)号：US5383923A

公开(公告)日：1995-01-24

申请号：US060450

申请日：1993-05-11

Applicant: Wilton W. Webster, Jr.

Inventor： Wilton W. Webster, Jr.

IPC: A61B5/042 ,  A61M25/01 ,  A61N1/05

CPC classification number: A61M25/0147 ,  A61B5/0422 ,  A61B5/6855 ,  A61M25/0152 ,  A61N1/056 ,  A61B2562/0209 ,  A61B2562/043 ,  A61M2025/015

Abstract: A steerable catheter, which is adapted to be inserted into a body lumen, comprises a symmetrical cylindrical control handle, an elongate tubular catheter body, and a flexible catheter tip having a lumen offset from the axis of the catheter tip. The control handle comprises a housing having a piston chamber at its distal end. A piston is mounted in the piston chamber and is afforded lengthwise movement. The proximal end of the catheter body is fixedly attached to the distal end of the piston. A puller wire made of nickel-titanium alloy having shape memory is attached to the housing and extends through the piston, through and coaxial with the catheter body and into the offset lumen of the catheter tip where it is attached to the wall of the catheter tip. Lengthwise movement of the piston relative to the housing results in deflection of the catheter tip.

Abstract translation: 适于插入体腔的可导向导管包括对称的圆柱形控制手柄，细长管状导管主体和具有从导管尖端的轴线偏移的腔的柔性导管末端。 控制手柄包括在其远端具有活塞室的壳体。 活塞安装在活塞室中并且被提供纵向运动。 导管主体的近端固定地附接到活塞的远端。 由具有形状记忆的镍钛合金制成的拉丝线连接到壳体并且延伸穿过活塞并通过导管主体并与导管主体同轴并且延伸到导管末端的偏移内腔中，在该位置处其连接到导管尖端的壁 。 活塞相对于壳体的纵向运动导致导管尖端的偏转。

公开(公告)号：US07918851B2

公开(公告)日：2011-04-05

申请号：US11058434

申请日：2005-02-14

Applicant: Wilton W. Webster, Jr. ,  Mario Solis

Inventor： Wilton W. Webster, Jr. ,  Mario Solis

IPC: A61B18/14

CPC classification number: A61M25/0082 ,  A61B18/1492 ,  A61B2018/00011 ,  A61B2018/00029 ,  A61B2018/00577 ,  A61B2034/2051 ,  A61B2218/002 ,  A61M25/0069 ,  A61M25/008 ,  A61M25/0147 ,  A61M2025/015 ,  Y10T29/49002 ,  Y10T29/49117 ,  Y10T29/49192 ,  Y10T29/49204

Abstract: An irrigated tip electrode design includes a shell generally surrounding a plug which jointly define a chamber that is fed with fluid by a lumen. The fluid is distributed to the outer surface of the tip electrode through fluid passages. The chamber is advantageously isolated from a region of the tip electrode occupied by electrical and/or electromagnetic components in the tip electrode. Lumens occupied by the these components terminate in blind holes that have no communication with the chamber. A method of fabricating includes providing a shell configured from a rod to provide an open interior cavity, sealing and partially filling the cavity with a plug to form a chamber, then forming fluid passages between the cavity and an outer surface of the tip electrode, and providing a lumen through which fluid can enter the chamber and exit therefrom through the fluid passages.

Abstract translation: 灌注的尖端电极设计包括通常围绕塞子的外壳，该壳体共同限定通过管腔供给流体的腔室。 流体通过流体通道分配到末端电极的外表面。 该腔室有利地从尖端电极的电极和/或电磁部件所占据的尖端电极区域隔离。 由这些组件占据的流明终止于与腔室无通信的盲孔中。 一种制造方法包括提供由杆构成的壳体以提供开放的内部空腔，用塞子密封并部分地填充空腔以形成腔室，然后在腔体和尖端电极的外表面之间形成流体通道，以及 提供流体，流体可以通过该腔流入腔室并通过流体通道从其中离开。

公开(公告)号：US06602242B1

公开(公告)日：2003-08-05

申请号：US09502359

申请日：2000-02-15

Applicant: Michele M. Fung ,  Dean M. Ponzi ,  Wilton W. Webster, Jr.

Inventor： Michele M. Fung ,  Dean M. Ponzi ,  Wilton W. Webster, Jr.

IPC: A61M2501

CPC classification number: A61M25/0147 ,  A61B18/1492 ,  A61B2017/003 ,  A61B2018/00029 ,  A61B2018/0016 ,  A61B2018/00577 ,  A61B2018/00839 ,  A61B2034/2051 ,  A61M25/0136 ,  A61M2025/015

Abstract: A steerable irrigated tip catheter is provided. The catheter includes a catheter body, a control handle at the proximal end of the catheter body, and a tip section at the distal end of the catheter body. The tip section comprises a segment of flexible tubing with a tip electrode fixedly attached to its distal end. The tip electrode has a fluid passage in fluid communication with a lumen in the tip section. The fluid passage comprises at least one transverse passage or is formed by interconnecting pores of the tip electrode. An infusion tube extends through the catheter body and tip section and is anchored at its distal end in the proximal end of the fluid passage in the tip electrode. In use, fluid can flow through the infusion tube, into the fluid passage in the tip electrode and through the tip electrode to the outer surface of the tip electrode.

Abstract translation: 提供了可操纵的灌注式尖端导管。 导管包括导管主体，在导管主体的近端处的控制手柄以及在导管主体的远端处的尖端部分。 尖端部分包括一段柔性管，其末端电极固定地连接到其远端。 尖端电极具有与尖端部分的内腔流体连通的流体通道。 流体通道包括至少一个横向通道，或者通过使尖端电极的孔相互连接形成。 输液管延伸穿过导管主体和尖端部分，并且在尖端电极中的流体通道的近端的远端处被锚定。 在使用中，流体可以流过输注管，进入尖端电极中的流体通道并且通过尖端电极流到尖端电极的外表面。

公开(公告)号：US06500167B1

公开(公告)日：2002-12-31

申请号：US09436456

申请日：1999-11-08

Applicant: Wilton W. Webster, Jr.

Inventor： Wilton W. Webster, Jr.

IPC: A61M2501

CPC classification number: A61M25/0147 ,  A61B5/015 ,  A61M25/0136 ,  A61M2025/015 ,  A61M2025/0161

Abstract: A multi-directional electrode catheter comprising an elongated tubular catheter body, a catheter tip section at the distal end of the catheter body and a control handle at the proximal end of the catheter. The catheter body may have a central lumen, and four off-axis lumens symmetrically positioned about the central lumen. A puller wire extends from the central handle through each off-axis lumen and is anchored to the tip section at a selected location. Within each off-axis lumen in the catheter body, there is provided a compression coil in surrounding relation to the puller wire. The compression coil is fixedly attached to the catheter body at its distal and proximal ends. At its proximal end, each puller wire is attached to a movable piston in the control handle. Moreover, each piston is controlled by an operator using a slidable button fixedly attached to each piston. Movement of a selected button results in movement of a selected puller wire and deflection of the tip section in the direction that puller wire.

Abstract translation: 一种多向电极导管，其包括细长的管状导管体，在导管主体的远端处的导管尖端部分和在导管的近端处的控制手柄。 导管主体可以具有中心腔和围绕中心腔对称定位的四个离轴腔。 拉线从中心手柄延伸穿过每个离轴内腔，并且在选定位置处锚定到尖端部分。 在导管体内的每个离轴内腔内设置有与拉线相关的压缩线圈。 压缩线圈在其远端和近端处固定地附接到导管主体。 在其近端，每个拉线连接到控制手柄中的可移动活塞。 此外，每个活塞由操作者使用固定地连接到每个活塞的可滑动按钮来控制。 所选择的按钮的移动导致所选择的拉丝线的移动和尖端部分沿着拉线的方向的偏转。

公开(公告)号：US06198974B1

公开(公告)日：2001-03-06

申请号：US09157055

申请日：1998-09-18

Applicant: Wilton W. Webster, Jr.

Inventor： Wilton W. Webster, Jr.

IPC: A61N105

CPC classification number: A61M25/0147 ,  A61B18/1492 ,  A61B2017/00247 ,  A61B2017/003 ,  A61B2018/00392 ,  A61B2018/00916 ,  A61M25/0136 ,  A61M2025/015

Abstract: A bi-directional electrode catheter comprising an elongated tubular catheter body, a catheter tip section at the distal end of the catheter body and a control handle at the proximal end of the catheter. The tip section comprises two pair of generally diametrically opposed off-axis lumens. Two pair of puller wires extend from the handle, through the catheter body, and into the off-axis pair of lumens of the tip section, where they are anchored in the tip section at different locations along the length of the tip section. Compression coils extend through the catheter body in surrounding relation to the puller wires. At their proximal ends, the puller wires are attached to movable pistons in the control handle. Each piston is controlled by an operator using a slidable button fixedly attached to each piston. Movement of selected buttons results in deflection of the tip section into a generally planar “U”- or “S”-shaped curve.

Abstract translation: 一种双向电极导管，其包括细长的管状导管主体，在导管主体的远端处的导管末端部分和在导管的近端处的控制手柄。 尖端部分包括两对大致直径相对的离轴内腔。 两对拉线从手柄延伸穿过导管主体，并延伸到尖端部分的离轴对的一个管腔中，在那里它们沿着尖端部分的长度在不同位置锚定在尖端部分中。 压缩线圈围绕导线延伸穿过导管主体。 在其近端处，拉线连接到控制手柄中的可移动活塞。 每个活塞由操作者使用固定地连接到每个活塞的可滑动按钮来控制。 所选按钮的移动导致尖端部分偏转成大致平面的“U”或“S”形曲线。

公开(公告)号：US06134463A

公开(公告)日：2000-10-17

申请号：US829007

申请日：1997-03-31

Applicant: Frederick H. M. Wittkampf ,  Wilton W. Webster, Jr.

Inventor： Frederick H. M. Wittkampf ,  Wilton W. Webster, Jr.

IPC: A61B5/042 ,  A61B18/14 ,  A61N1/06

CPC classification number: A61B5/6855 ,  A61B18/1492 ,  A61B5/042 ,  A61N1/06 ,  A61B2017/003 ,  A61B2018/00369 ,  A61B2018/00577 ,  A61B2018/00815 ,  A61B2018/00821 ,  A61B2018/00839 ,  A61B2562/0209 ,  A61B2562/046

Abstract: An electrode catheter for cardiac electrophysiology is provided. An elongated body suitable for intravascular insertion and forming an axial lumen is provided. A tip electrode defines an axial hole extending inward from a distal end of the tip electrode and is directly mounted to a distal end of the elongated body on a proximal end of the tip electrode. An eye electrode is located within the axial hole substantially concentric to and electrically insulated from the tip electrode. Electrode lead wires run through the axial lumen. One of the electrode lead wires is electrically connected to the eye electrode and another of the electrode lead wires is electrically connected to the tip electrode.

Abstract translation: 提供了用于心脏电生理学的电极导管。 提供适于血管内插入并形成轴向腔的细长体。 尖端电极限定从尖端电极的远端向内延伸的轴向孔，并且直接安装到尖端电极的近端上的细长体的远端。 眼电极位于与尖端电极基本上同心且与电极绝缘的轴向孔内。 电极引线穿过轴向内腔。 电极引线中的一个电连接到眼电极，另一个电极引线电连接到尖端电极。

公开(公告)号：US6066125A

公开(公告)日：2000-05-23

申请号：US190385

申请日：1998-11-10

Applicant: Wilton W. Webster, Jr.

Inventor： Wilton W. Webster, Jr.

IPC: A61B5/00 ,  A61M25/01 ,  A61M37/00

CPC classification number: A61M25/0147 ,  A61B5/015 ,  A61M25/0136 ,  A61M2025/015 ,  A61M2025/0161

Abstract: A multi-directional electrode catheter comprising an elongated tubular catheter body, a catheter tip section at the distal end of the catheter body and a control handle at the proximal end of the catheter. The catheter body may have a central lumen, and four off-axis lumens symmetrically positioned about the central lumen. A puller wire extends from the central handle through each off-axis lumen and is anchored to the tip section at a selected location. Within each off-axis lumen in the catheter body, there is provided a compression coil in surrounding relation to the puller wire. The compression coil is fixedly attached to the catheter body at its distal and proximal ends. At its proximal end, each puller wire is attached to a movable piston in the control handle. Moreover, each piston is controlled by an operator using a slidable button fixedly attached to each piston. Movement of a selected button results in movement of a selected puller wire and deflection of the tip section in the direction that puller wire.