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US6200310B1 Expired / Lapsed US ⏱️ 0.0 years remaining

Monitoring of myocardial revascularization

Assignee: Biosense Webster Inc
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Filing: 1997-09-15
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Granted: 2001-03-13
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Expires: 2017-09-15
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Abstract

Abstract Apparatus for PNR treatment, including an elongate probe having a distal end for engaging heart tissue of a subject, and a revascularization device, which imparts energy to the heart tissue for generating perfusion-enhancing channels therein. A sensor provides an indication responsive to the treatment, preferably by receiving signals generated by the body of the subject.

Inventors

  • 👤 Shlomo Ben-Haim
  • 👤 Uri Yaron
  • 👤 Joel Zilberstein

Bibliographic Details

Application Number —
Jurisdiction US
Data Source google_patents
Last Synchronized 2026-10-24 19:11
CPC Classifications
A; A61; A61N; A61N5/00; A61N5/06; A61N5/0601; A61B; A61B18/00; A61B18/18; A61B18/20; A61B18/22; A61B18/24; A61B17/00; A61B17/00234; A61B2017/00238; A61B2017/00243; A61B2017/00247; A61B2018/00315; A61B2018/00345; A61B2018/00351; A61B2018/00392; A61B2018/2255; A61B2018/2272; A61B5/00; A61B5/0059; A61B5/0071; A61B5/0082; A61B5/0084; A61B5/06; A61B8/00; A61B8/12; A61B8/44; A61B8/4483; A61B8/4488

Claims Analysis

Total Claims: 29
Claim 1
Independent Claim 61 words
Apparatus for PMR treatment, comprising: an elongate probe having a distal end for engaging heart tissue of a subject, and comprising a revascularization device, which imparts energy to the heart tissue for generating perfusion-enhancing channels therein; and a sensor, which provides an indication responsive to the treatment wherein the sensor comprises a blood flow sensor, which generate signals responsive to microcirculation.
Claim 2
Dependent Claim 61 words
Apparatus for PMR treatment, comprising: an elongate probe having a distal end for engaging heart tissue of a subject, and comprising a revascularization device, which imparts energy to the heart tissue for generating perfusion-enhancing channels therein; and a sensor, which provides an indication responsive to the treatment wherein the sensor comprises a blood flow sensor, which generate signals responsive to microcirculation.
Claim 3
Dependent Claim 22 words
Apparatus according to claim 1 , wherein the sensor receives signals generated by the body of the subject responsive to the treatment.
Claim 4
Dependent Claim 78 words
Apparatus for PMR treatment, comprising: an elongate probe having a distal end for engaging heart tissue of a subject, and comprising a revascularization device, which imparts energy to the heart tissue for generating perfusion-enhancing channels therein; a sensor, which provides an indication responsive to the treatment; and signal processing circuitry, which is coupled to the sensor and analyzes the signals to provide an indication of the efficacy of the treatment, wherein the circuitry detects an elevated ST segment.
Claim 5
Dependent Claim 78 words
Apparatus for PMR treatment, comprising: an elongate probe having a distal end for engaging heart tissue of a subject, and comprising a revascularization device, which imparts energy to the heart tissue for generating perfusion-enhancing channels therein; a sensor, which provides an indication responsive to the treatment; and signal processing circuitry, which is coupled to the sensor and analyzes the signals to provide an indication of the efficacy of the treatment, wherein the circuitry detects an elevated ST segment.
Claim 6
Dependent Claim 12 words
Apparatus according to claim 3 , wherein the sensor comprises an electrode.
Claim 7
Dependent Claim 19 words
Apparatus according to claim 4 , wherein the electrode is positioned on the probe adjacent the distal end thereof.
Claim 8
Dependent Claim 13 words
Apparatus according to claim 3 , wherein the sensor comprises an optical sensor.
Claim 9
Dependent Claim 32 words
Apparatus according to claim 6 , and comprising a waveguide, which transmits fluorescence-stimulating radiation to the myocardial tissue, wherein the sensor receives fluorescence emitted from the tissue and generates signals responsive thereto.
Claim 10
Dependent Claim 17 words
Apparatus according to claim 3 , wherein the revascularization device applies laser radiation to the heart tissue.
Claim 11
Dependent Claim 17 words
Apparatus according to claim 3 , wherein the revascularization device applies RF energy to the heart tissue.
Claim 12
Dependent Claim 18 words
Apparatus according to claim 3 , wherein the revascularization device applies high-intensity ultrasonic radiation to the heart tissue.
Claim 13
Dependent Claim 17 words
Apparatus according to claim 3 , wherein the revascularization device applies mechanical energy to the heart tissue.
Claim 14
Independent Claim 96 words
A method for monitored PMR treatment of the heart of a subject, comprising: bringing a probe, including a revascularization device for imparting energy to the heart, into engagement with heart tissue of a subject; imparting energy to the heart tissue using the device so as to generate perfusion-enhancing channels therein; transmitting fluorescence-stimulating radiation to the heart tissue through an optical waveguide; and receiving a signal from the body of the subject responsive to the treatment by receiving energy reflected from the heart tissue by receiving fluorescence radiation emitted from the heart tissue through a light detector.
Claim 15
Independent Claim 96 words
A method for monitored PMR treatment of the heart of a subject, comprising: bringing a probe, including a revascularization device for imparting energy to the heart, into engagement with heart tissue of a subject; imparting energy to the heart tissue using the device so as to generate perfusion-enhancing channels therein; transmitting fluorescence-stimulating radiation to the heart tissue through an optical waveguide; and receiving a signal from the body of the subject responsive to the treatment by receiving energy reflected from the heart tissue by receiving fluorescence radiation emitted from the heart tissue through a light detector.
Claim 16
Dependent Claim 15 words
A method according to claim 12 , wherein receiving fluorescence radiation comprises receiving autofluorescent radiation.
Claim 17
Dependent Claim 24 words
A method according to claim 12 , wherein receiving fluorescence radiation comprises receiving fluorescent radiation from an agent administered into the subject's blood stream.
Claim 18
Independent Claim 83 words
A method for monitored PMR treatment of the heart of a subject, comprising: bringing a probe, including a revascularization device for imparting energy to the heart, into engagement with heart tissue of a subject; imparting energy to the heart tissue using the device so as to generate perfusion-enhancing channels therein; receiving a signal from the body of the subject responsive to the treatment; and processing the signal to provide an indication of the efficacy of the treatment by detecting an elevated ST segment.
Claim 19
Independent Claim 83 words
A method for monitored PMR treatment of the heart of a subject, comprising: bringing a probe, including a revascularization device for imparting energy to the heart, into engagement with heart tissue of a subject; imparting energy to the heart tissue using the device so as to generate perfusion-enhancing channels therein; receiving a signal from the body of the subject responsive to the treatment; and processing the signal to provide an indication of the efficacy of the treatment by detecting an elevated ST segment.
Claim 20
Dependent Claim 17 words
A method according to claim 15 , wherein imparting energy to the heart comprises imparting laser radiation.
Claim 21
Dependent Claim 17 words
A method according to claim 15 , wherein imparting energy to the heart comprises imparting RF radiation.
Claim 22
Dependent Claim 18 words
A method according to claim 15 , wherein imparting energy to the heart comprises imparting high-intensity ultrasonic radiation.
Claim 23
Dependent Claim 17 words
A method according to claim 15 , wherein imparting energy to the heart comprises imparting mechanical energy.
Claim 24
Dependent Claim 89 words
Apparatus for PMR treatment, comprising: an elongate probe having a distal end for engaging heart tissue of a subject, and comprising a revascularization device, which imparts energy to the heart tissue for generating perfusion-enhancing channels therein; a sensor, which provides an indication responsive to the treatment; and signal processing circuitry, which is coupled to the sensor and analyzes the signals to provide an indication of the efficacy of the treatment, wherein the circuitry detects an arrhythmia, and wherein the arrhythmia detected by the circuitry comprises at least one VPB.
Claim 25
Dependent Claim 89 words
Apparatus for PMR treatment, comprising: an elongate probe having a distal end for engaging heart tissue of a subject, and comprising a revascularization device, which imparts energy to the heart tissue for generating perfusion-enhancing channels therein; a sensor, which provides an indication responsive to the treatment; and signal processing circuitry, which is coupled to the sensor and analyzes the signals to provide an indication of the efficacy of the treatment, wherein the circuitry detects an arrhythmia, and wherein the arrhythmia detected by the circuitry comprises at least one VPB.
Claim 26
Independent Claim 81 words
A method for monitored PMR treatment of the heart of a subject, comprising: bringing a probe, including a revascularization device for imparting energy to the heart, into engagement with heart tissue of a subject; imparting energy to the heart tissue using the device so as to generate perfusion-enhancing channels therein; and receiving a signal from the body of the subject responsive to the treatment by receiving signals responsive to microcirculation blood flow rate adjacent a designated channel location within the heart.
Claim 27
Independent Claim 81 words
A method for monitored PMR treatment of the heart of a subject, comprising: bringing a probe, including a revascularization device for imparting energy to the heart, into engagement with heart tissue of a subject; imparting energy to the heart tissue using the device so as to generate perfusion-enhancing channels therein; and receiving a signal from the body of the subject responsive to the treatment by receiving signals responsive to microcirculation blood flow rate adjacent a designated channel location within the heart.
Claim 28
Independent Claim 85 words
A method for monitored PMR treatment of the heart of a subject, comprising: bringing a probe, including a revascularization device for imparting energy to the heart, into engagement with heart tissue of a subject; imparting energy to the heart tissue using the device so as to generate perfusion-enhancing channels therein; receiving a signal from the body of the subject responsive to the treatment; and processing the signal to provide an indication of the efficacy of the treatment by detecting an arrhythmia through detecting a VPB.
Claim 29
Independent Claim 85 words
A method for monitored PMR treatment of the heart of a subject, comprising: bringing a probe, including a revascularization device for imparting energy to the heart, into engagement with heart tissue of a subject; imparting energy to the heart tissue using the device so as to generate perfusion-enhancing channels therein; receiving a signal from the body of the subject responsive to the treatment; and processing the signal to provide an indication of the efficacy of the treatment by detecting an arrhythmia through detecting a VPB.

USPTO Annuity & Maintenance Windows

Annuity Stage Window Opens Payment Deadline Surcharge Period Until Estimated Fee Status
3.5 Years (Year 4) 2004-03-12 2004-09-11 2005-03-13 $2000.00 Window Closed / Lapsed
7.5 Years (Year 8) 2008-03-12 2008-09-11 2009-03-13 $3760.00 Window Closed / Lapsed
11.5 Years (Year 12) 2012-03-12 2012-09-11 2013-03-13 $7700.00 Window Closed / Lapsed

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