Surgery – Instruments – Light application
Reexamination Certificate
2008-03-04
2008-03-04
Johnson, III, Henry M. (Department: 3739)
Surgery
Instruments
Light application
C128S898000, C606S010000, C606S013000
Reexamination Certificate
active
07338485
ABSTRACT:
A method and apparatus for treating in situ biologic tissue include identifying a patient with a condition susceptible to treatment by forming a lesion in the tissue and accessing a surface of the tissue. A lesion formation tool is positioned against the accessed surface. The tool includes an optical fiber for guiding a coherent waveform of a selected wavelength to a fiber tip for discharge of light energy from the fiber tip. The wavelength is selected for the light energy to penetrate a full thickness of the tissue to form a volume of necrosed tissue through the thickness of the tissue. The tool further includes a guide tip coupled to the fiber tip. The guide tip is adapted to have a discharge bore aligned with the fiber tip to define an unobstructed light pathway from the fiber tip to the tissue surface. The guide tip is further adapted to be placed against the tissue surface with the guide tip slidable along the tissue surface in atraumatic sliding engagement with the discharge bore opposing the tissue surface. The lesion formation tool is manipulated to draw the guide tip over the tissue surface in a pathway while maintaining the discharge bore opposing the tissue surface to form a transmural lesion in the tissue extending a length of the pathway.
REFERENCES:
patent: 4693244 (1987-09-01), Daikuzono
patent: 4785815 (1988-11-01), Cohen
patent: 4955267 (1990-09-01), Jacobs et al.
patent: 4985028 (1991-01-01), Isner et al.
patent: 4997431 (1991-03-01), Isner et al.
patent: 5046810 (1991-09-01), Steiner et al.
patent: 5104393 (1992-04-01), Isner et al.
patent: 5125926 (1992-06-01), Rudko et al.
patent: 5172699 (1992-12-01), Svenson et al.
patent: 5281212 (1994-01-01), Savage et al.
patent: 5282798 (1994-02-01), Bruse et al.
patent: 5290277 (1994-03-01), Vercimak et al.
patent: 5306274 (1994-04-01), Long
patent: 5318525 (1994-06-01), West et al.
patent: 5354296 (1994-10-01), Turkel
patent: 5360426 (1994-11-01), Müller et al.
patent: 5368564 (1994-11-01), Savage
patent: 5380316 (1995-01-01), Aita et al.
patent: 5389096 (1995-02-01), Aita et al.
patent: 5409008 (1995-04-01), Svenson et al.
patent: 5423805 (1995-06-01), Brucker et al.
patent: 5500012 (1996-03-01), Brucker et al.
patent: 5501271 (1996-03-01), Wijkstrom
patent: 5507725 (1996-04-01), Savage et al.
patent: 5534000 (1996-07-01), Bruce
patent: 5537499 (1996-07-01), Brekke
patent: 5651786 (1997-07-01), Abela et al.
patent: 5728091 (1998-03-01), Payne et al.
patent: 5769843 (1998-06-01), Abela et al.
patent: 5782828 (1998-07-01), Chen et al.
patent: 5800428 (1998-09-01), Nelson et al.
patent: 5824005 (1998-10-01), Motamedi et al.
patent: 5827267 (1998-10-01), Savage et al.
patent: 5830209 (1998-11-01), Savage et al.
patent: 5897551 (1999-04-01), Everett et al.
patent: 5925033 (1999-07-01), Aita et al.
patent: 5931848 (1999-08-01), Saadat
patent: 5951541 (1999-09-01), Simpson et al.
patent: 6024739 (2000-02-01), Ponzi et al.
patent: 6063080 (2000-05-01), Nelson et al.
patent: 6063081 (2000-05-01), Mulier et al.
patent: 6066131 (2000-05-01), Mueller et al.
patent: 6068629 (2000-05-01), Haissaguerre et al.
patent: 6110167 (2000-08-01), Cozean et al.
patent: 6135996 (2000-10-01), Kolesa et al.
patent: 6161543 (2000-12-01), Cox et al.
patent: 6200308 (2001-03-01), Pope et al.
patent: 6200310 (2001-03-01), Ben-haim et al.
patent: 6231518 (2001-05-01), Grabek et al.
patent: 6231568 (2001-05-01), Loeb et al.
patent: 6237605 (2001-05-01), Vaska et al.
patent: 6258083 (2001-07-01), Daniel et al.
patent: 6311692 (2001-11-01), Vaska et al.
patent: 6314962 (2001-11-01), Vaska et al.
patent: 6314963 (2001-11-01), Vaska et al.
patent: 6474340 (2002-11-01), Vaska et al.
patent: 6514244 (2003-02-01), Pope et al.
patent: 6514250 (2003-02-01), Jahns et al.
patent: 6517536 (2003-02-01), Hooven et al.
patent: 6546935 (2003-04-01), Hooven
patent: 6558375 (2003-05-01), Sinofsky et al.
patent: 6558382 (2003-05-01), Jahns et al.
patent: 6572609 (2003-06-01), Farr et al.
patent: 6579285 (2003-06-01), Sinofsky
patent: 6599288 (2003-07-01), Maguire et al.
patent: 6663622 (2003-12-01), Foley et al.
patent: 6736808 (2004-05-01), Motamedi et al.
patent: 6743225 (2004-06-01), Sanchez et al.
patent: 6802840 (2004-10-01), Chin et al.
patent: 6805128 (2004-10-01), Pless et al.
patent: 6805129 (2004-10-01), Pless et al.
patent: 6811562 (2004-11-01), Pless
patent: 6817999 (2004-11-01), Berube et al.
patent: 6899710 (2005-05-01), Hooven
patent: 6949095 (2005-09-01), Vaska et al.
patent: 6953457 (2005-10-01), Farr et al.
patent: 6971394 (2005-12-01), Sliwa, Jr. et al.
patent: 2002/0022829 (2002-02-01), Nagase et al.
patent: 2002/0052621 (2002-05-01), Fried et al.
patent: 2002/0068924 (2002-06-01), Sinofsky
patent: 2002/0087151 (2002-07-01), Mody et al.
patent: 2002/0100485 (2002-08-01), Stevens et al.
patent: 2002/0128636 (2002-09-01), Chin et al.
patent: 2002/0193782 (2002-12-01), Ellis et al.
patent: 2003/0023236 (2003-01-01), Gowda et al.
patent: 2003/0029462 (2003-02-01), Cox et al.
patent: 2003/0050630 (2003-03-01), Mody et al.
patent: 2003/0050631 (2003-03-01), Mody et al.
patent: 2003/0060813 (2003-03-01), Loeb et al.
patent: 2003/0069575 (2003-04-01), Chin et al.
patent: 2003/0069577 (2003-04-01), Vaska et al.
patent: 2003/0078566 (2003-04-01), Elliott et al.
patent: 2003/0083654 (2003-05-01), Chin et al.
patent: 2003/0109868 (2003-06-01), Chin et al.
patent: 2003/0120268 (2003-06-01), Bertolero et al.
patent: 2003/0125730 (2003-07-01), Berube et al.
patent: 2003/0163128 (2003-08-01), Patil et al.
patent: 2003/0195496 (2003-10-01), Maguire et al.
patent: 2003/0199860 (2003-10-01), Loeb et al.
patent: 2003/0220639 (2003-11-01), Chapelon et al.
patent: 2004/0006333 (2004-01-01), Arnold et al.
patent: 2004/0019348 (2004-01-01), Stevens et al.
patent: 2004/0054363 (2004-03-01), Vaska et al.
patent: 2004/0092913 (2004-05-01), Hennings et al.
patent: 2004/0102771 (2004-05-01), Bertolero et al.
patent: 2004/0143257 (2004-07-01), Fuimaono
patent: 2004/0147912 (2004-07-01), Sinofsky
patent: 2004/0147913 (2004-07-01), Sinofsky
patent: 2004/0199151 (2004-10-01), Neuberger
patent: 2004/0260278 (2004-12-01), Anderson et al.
patent: 2005/0075629 (2005-04-01), Chapelon et al.
patent: 2005/0096643 (2005-05-01), Brucker et al.
patent: 2005/0182392 (2005-08-01), Brucker et al.
patent: 2005/0209589 (2005-09-01), Berman et al.
patent: 2005/0273090 (2005-12-01), Nieman et al.
patent: 2006/0009759 (2006-01-01), Chrisitian et al.
patent: 2006/0025762 (2006-02-01), Mohan et al.
patent: 2006/0084960 (2006-04-01), Mester et al.
patent: 1 170 034 (2002-01-01), None
patent: WO 96/34569 (1996-11-01), None
patent: WO 01/03599 (2001-01-01), None
patent: WO 01/58373 (2001-08-01), None
patent: WO 2006/050011 (2006-05-01), None
patent: WO 2007/109246 (2007-09-01), None
Abela,Lasers in Cardiovascular Medicine and Surgery: Fundamentals and Techniques, p. 28 (1990).
Chiappini, et al., “Cox/Maze III Operation Versus Radiofrequency Ablation for the Surgical Treatment of Atrial Fibrillation: A Comparative Study,”Ann. Thorac. Surg., No. 77, pp. 87-92 (2004).
Cox, “Atrial fibrillation II: Rationale for surgical treatment,”The Journal of Thoracic and Cardiovascular Surgery., vol. 126, No. 6, pp. 1693-1699 (2003).
Fried, N. et al., “Linear Lesions in Myocardium Created by Nd:YAG Laser Using Diffusing Optical Fibers: In Vitro and In Vivo Results,”Lasers in Surgery and Medicine, vol. 27, pp. 295-304 (2000).
Keane, D. et al., “Linear Atrial Ablation With a Diode Laser and Fiberoptic Catheter,”Circulation, vol. 100, e59-e60 (1999).
Kubota, H. et al., “Atrial Ablation With an IRK-151 Infrared Coagulator,”Ann. Thorac. Surg., vol. 66, pp. 95-100 (1998).
Thomas, S. et al., Production of Narrow but Deep Lesions Suitable for Ablation of Atrial Fibrillation Using a Saline-Cooled Narrow Beam Nd:YAG Laser Catheter,Lasers in Surgery and Medicine, vol. 38, pp. 375-380.
Viola et al., “The Technology in Use for the Surgical Ablation of Atrial Fibrillation,”Seminars in Thoracic and Cardiovascular Surgery, vol. 14, No. 3, pp.
Brucker Gregory G.
Svenson Robert H.
Johnson, III Henry M.
Medical CV, Inc.
Merchant & Gould P.C.
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