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Methods and apparatus for myocardial revascularization

Assignee: Biosense Webster Inc
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Filing: 1998-07-02
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Granted: 2001-01-09
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Expires: 2018-07-02
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Abstract

Abstract An elongate probe for providing irradiation treatment of the heart, the probe having a distal end for engaging heart tissue of a subject, including a waveguide, which conveys radiation to the heart tissue; and a sensor, adjacent the distal end of the probe, which generates signals for use in controlling the treatment.

Inventors

  • 👤 Shlomo Ben-Haim
  • 👤 Uri Yaron

Bibliographic Details

Application Number —
Jurisdiction US
Data Source google_patents
Last Synchronized 2026-10-23 10:22
CPC Classifications
A; A61; A61B; A61B5/00; A61B5/68; A61B5/6846; A61B5/6847; A61B5/6852; A61B5/6856; A61B17/00; A61B17/22; A61B17/22004; A61B17/22012; A61B17/34; A61B17/3403; A61B18/00; A61B18/18; A61B18/20; A61B34/00; A61B34/20; A61B5/02; A61B5/021; A61B5/0215; A61B5/026; A61B5/029; A61B5/06; A61B5/061; A61B5/062; A61B5/145; A61B5/24; A61B5/25; A61B5/279; A61B5/28; A61B5/283; A61B5/287; A61B5/6801; A61B5/6843; A61B5/6853; A61B5/6858; A61B5/6859; A61B8/00; A61B8/08; A61B8/0833; A61B8/0841; A61N; A61N1/00; A61N1/18; A61N1/32; A61N1/36; A61N1/362; A61N1/3627; A61N1/365; A61N1/36514; A61N1/36564; A61N1/40; A61B10/00; A61B10/02; A61B17/00234; A61B2017/00238; A61B2017/00243; A61B2017/00247; A61B2017/22005; A61B2017/22007; A61B2017/22008; A61B2018/00053; A61B2018/00273; A61B2018/00291; A61B2018/00315; A61B2018/00345; A61B2018/00351; A61B2018/00392; A61B2034/2046; A61B2034/2051; A61B90/00; A61B90/39; A61B2090/3954; A61B2090/3958; A61B5/72; A61B5/7271; A61B5/7285; A61M; A61M25/00; A61M25/01; A61M25/0105; A61M2025/0166; A61N1/368; A61N5/00; A61N5/10; A61N5/1048; A61N5/1064

Claims Analysis

Total Claims: 31
Claim 1
Independent Claim 92 words
A method for providing revascularization treatment to a heart, said method comprising: placing a probe at a plurality of locations of said heart; sensing a physiological characteristic of said heart at said locations; creating a viability map of said heart based on said sensed physiological characteristic of said locations, said viability map indicating viable tissue of said heart; creating at least one channel in said viable tissue of said heart according to said viability map; and marking said map at a position according to where said at least one channel was created.
Claim 2
Independent Claim 92 words
A method for providing revascularization treatment to a heart, said method comprising: placing a probe at a plurality of locations of said heart; sensing a physiological characteristic of said heart at said locations; creating a viability map of said heart based on said sensed physiological characteristic of said locations, said viability map indicating viable tissue of said heart; creating at least one channel in said viable tissue of said heart according to said viability map; and marking said map at a position according to where said at least one channel was created.
Claim 3
Dependent Claim 15 words
The method according to claim 1 , including creating said channel at a controllable angle.
Claim 4
Dependent Claim 15 words
The method according to claim 2 , wherein said controllable angle is an oblique angle.
Claim 5
Dependent Claim 24 words
The method according to claim 3 , wherein said oblique angle is at least 20° relative to an axis perpendicular to said heart location.
Claim 6
Dependent Claim 15 words
The method according to claim 4 , wherein said channel is created with said probe.
Claim 7
Dependent Claim 19 words
The method according to claim 1 , wherein said physiological characteristic is an electric potential of said heart location.
Claim 8
Dependent Claim 18 words
The method according to claim 1 , wherein said physiological characteristic is a movement of said heart location.
Claim 9
Dependent Claim 15 words
The method according to claim 1 , including creating said channel with an irradiation source.
Claim 10
Dependent Claim 23 words
The method according to claim 8 , including providing a shock wave at said heart location in conjunction with said channel creation step.
Claim 11
Independent Claim 117 words
A system for providing revascularization treatment to a heart of a patient, said system comprising: a console located exterior of said patient; a probe operatively connected to said console, said probe having a position sensor, an electrode for sensing a physiological characteristic of said heart, and a waveguide for creating at least one channel in said heart, said probe creating a viability map of said heart for indicating viable tissue of said heart; and wherein said console determines a position of said probe and a location for creating said at least one channel in said viable tissue of said heart according to said viability map, said console also controlling revascularization treatment to said heart through said waveguide.
Claim 12
Independent Claim 117 words
A system for providing revascularization treatment to a heart of a patient, said system comprising: a console located exterior of said patient; a probe operatively connected to said console, said probe having a position sensor, an electrode for sensing a physiological characteristic of said heart, and a waveguide for creating at least one channel in said heart, said probe creating a viability map of said heart for indicating viable tissue of said heart; and wherein said console determines a position of said probe and a location for creating said at least one channel in said viable tissue of said heart according to said viability map, said console also controlling revascularization treatment to said heart through said waveguide.
Claim 13
Dependent Claim 23 words
The system according to claim 10 , including a reference sensor operatively connected to said console for determining said position of said probe.
Claim 14
Dependent Claim 16 words
The system according to claim 11 , including field generator coils located exterior of said patient.
Claim 15
Dependent Claim 14 words
The system according to claim 12 , wherein said waveguide is an optical waveguide.
Claim 16
Dependent Claim 13 words
The system according to claim 13 , wherein said optical waveguide utilizes laser.
Claim 17
Dependent Claim 14 words
The system according to claim 12 , wherein said probe includes a lumen therethrough.
Claim 18
Dependent Claim 15 words
The system according to claim 15 , including a cutting instrument movable through said lumen.
Claim 19
Dependent Claim 16 words
A system according to claim 10 , wherein said viability map is based on electrophysiological data.
Claim 20
Dependent Claim 17 words
A system according to claim 17 , wherein said viability map is also based on biomechanical data.
Claim 21
Dependent Claim 16 words
A system according to claim 10 , wherein said viability map is based on biomechanical data.
Claim 22
Independent Claim 87 words
A method for providing revascularization treatment to a heart, said method comprising: placing a probe at a plurality of locations of said heart; sensing a physiological characteristic of said heart at said locations wherein said physiological characteristic includes a movement of said heart locations; creating a viability map of said heart based on said sensed physiological characteristic of said locations, said viability map indicating viable tissue of said heart; and creating at least one channel in said viable tissue of said heart according to said viability map.
Claim 23
Independent Claim 87 words
A method for providing revascularization treatment to a heart, said method comprising: placing a probe at a plurality of locations of said heart; sensing a physiological characteristic of said heart at said locations wherein said physiological characteristic includes a movement of said heart locations; creating a viability map of said heart based on said sensed physiological characteristic of said locations, said viability map indicating viable tissue of said heart; and creating at least one channel in said viable tissue of said heart according to said viability map.
Claim 24
Dependent Claim 24 words
The method according to claim 20 , including marking said map at a position according to where said at least one channel was created.
Claim 25
Dependent Claim 15 words
The method according to claim 20 , including creating said channel at a controllable angle.
Claim 26
Dependent Claim 15 words
The method according to claim 22 , wherein said controllable angle is an oblique angle.
Claim 27
Dependent Claim 24 words
The method according to claim 22 , wherein said oblique angle is at least 20° relative to an axis perpendicular to said heart location.
Claim 28
Dependent Claim 15 words
The method according to claim 24 , wherein said channel is created with said probe.
Claim 29
Dependent Claim 20 words
The method according to claim 20 , wherein said physiological characteristic also includes an electric potential of said heart locations.
Claim 30
Dependent Claim 15 words
The method according to claim 20 , including creating said channel with an irradiation source.
Claim 31
Dependent Claim 23 words
The method according to claim 27 , including providing a shock wave at said heart location in conjunction with said channel creation step.

USPTO Annuity & Maintenance Windows

Annuity Stage Window Opens Payment Deadline Surcharge Period Until Estimated Fee Status
3.5 Years (Year 4) 2004-01-09 2004-07-10 2005-01-09 $2000.00 Window Closed / Lapsed
7.5 Years (Year 8) 2008-01-09 2008-07-10 2009-01-09 $3760.00 Window Closed / Lapsed
11.5 Years (Year 12) 2012-01-09 2012-07-10 2013-01-09 $7700.00 Window Closed / Lapsed

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