Surgical ablation and pacing device

Surgery – Instruments – Electrical application

Reexamination Certificate

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C606S045000

Reexamination Certificate

active

08057471

ABSTRACT:
A surgical device has an integral first tip having pair of electrodes configured to ablate tissue using electric energy. A second tip has a pair of electrodes configured to provide pacing signals to a heart and/or to sense electrical signals passing through heart tissue. The second tip is configured to snap onto the first tip, such that the same device may be used for ablation, pacing, and sensing. Alternatively, the second tip may be integral with the device and the first tip configured to snap onto the second tip. Alternatively, a single integral tip of the surgical device may be used for ablation, pacing, and sensing. Such a multipurpose tip may comprise a plurality of electrode pairs or an array of electrodes. A user interface on the device or elsewhere may be operable to provide selectable modes for selectively varying properties of signals communicated to the electrodes.

REFERENCES:
patent: 4026303 (1977-05-01), Babotai
patent: 4074718 (1978-02-01), Morrison, Jr.
patent: 5230349 (1993-07-01), Langberg
patent: 5398683 (1995-03-01), Edwards et al.
patent: 5478347 (1995-12-01), Aranyi
patent: 5484435 (1996-01-01), Fleenor et al.
patent: 5558671 (1996-09-01), Yates
patent: 5626578 (1997-05-01), Tihon
patent: 5634924 (1997-06-01), Turkel et al.
patent: 5688267 (1997-11-01), Panescu et al.
patent: 5810764 (1998-09-01), Eggers et al.
patent: 5891140 (1999-04-01), Ginn et al.
patent: 5951471 (1999-09-01), de la Rama et al.
patent: 5967976 (1999-10-01), Larsen et al.
patent: 5971980 (1999-10-01), Sherman
patent: 6027500 (2000-02-01), Buckles et al.
patent: 6086586 (2000-07-01), Hooven
patent: 6099524 (2000-08-01), Lipson et al.
patent: 6161543 (2000-12-01), Cox et al.
patent: 6162216 (2000-12-01), Guziak et al.
patent: 6164283 (2000-12-01), Lesh
patent: 6167291 (2000-12-01), Barajas et al.
patent: 6228080 (2001-05-01), Gines
patent: 6309388 (2001-10-01), Fowler
patent: 6311692 (2001-11-01), Vaska et al.
patent: 6332881 (2001-12-01), Carner et al.
patent: 6391024 (2002-05-01), Sun et al.
patent: 6398779 (2002-06-01), Buysse et al.
patent: 6464696 (2002-10-01), Oyama et al.
patent: 6511476 (2003-01-01), Hareyama
patent: 6517536 (2003-02-01), Hooven et al.
patent: 6695839 (2004-02-01), Sharkey et al.
patent: 6730082 (2004-05-01), Messing et al.
patent: 6743225 (2004-06-01), Sanchez et al.
patent: 7147638 (2006-12-01), Chapman et al.
patent: 7169146 (2007-01-01), Truckai et al.
patent: 2001/0037108 (2001-11-01), Blocher et al.
patent: 2002/0032441 (2002-03-01), Ingle et al.
patent: 2002/0107513 (2002-08-01), Hooven
patent: 2003/0014043 (2003-01-01), Henry et al.
patent: 2003/0055420 (2003-03-01), Kadhiresan et al.
patent: 2003/0093072 (2003-05-01), Friedman
patent: 2003/0181904 (2003-09-01), Levine et al.
patent: 2003/0181965 (2003-09-01), Levy et al.
patent: 2003/0216733 (2003-11-01), McClurken et al.
patent: 2003/0220639 (2003-11-01), Chapelon et al.
patent: 2004/0030331 (2004-02-01), Thomas et al.
patent: 2004/0059237 (2004-03-01), Narayan et al.
patent: 2004/0082860 (2004-04-01), Haissaguerre
patent: 2004/0082946 (2004-04-01), Malis et al.
patent: 2004/0092926 (2004-05-01), Hoey et al.
patent: 2004/0133251 (2004-07-01), Altshuler et al.
patent: 2004/0181214 (2004-09-01), Garabedian et al.
patent: 2004/0193148 (2004-09-01), Wham et al.
patent: 2005/0030331 (2005-02-01), Thomas et al.
patent: 2005/0033283 (2005-02-01), Hooven
patent: 2005/0070896 (2005-03-01), Daniel et al.
patent: 2005/0080411 (2005-04-01), Ouchi
patent: 2006/0161149 (2006-07-01), Privitera et al.
patent: 2006/0161151 (2006-07-01), Privitera et al.
patent: 2006/0217701 (2006-09-01), Young et al.
patent: 2006/0293646 (2006-12-01), Whayne et al.
patent: WO 2004/103195 (2004-12-01), None
PCT International Search Report, PCT/US2005/044201, International Filing Date Jun. 12, 2005, mailed May 5, 2006.
PCT Written Opinion of the International Searching Authority, PCT/US2005/044201, International Filing Date Jun. 12, 2005.
PCT International Preliminary Report on Patentability and PCT Written Opinion of the International Searching Authority, Sep. 2, 2008, International Application No. PCT/US2007/004908.
PCT International Search Report, PCT/US2005/044201, International filed Jun. 12, 2005, mailed May 5, 2006.
PCT Written opinion of the International Searching Authority, PCT US2005/044201, International filed Jun. 12, 2005.
Partial European Search Report, issued in EP Application No. 07 252279.0, dated Sep. 5, 2007.
Extended European Search Report Issued in EP Application No. 07 252279.02, dated Nov. 20, 2007.
PCT International Search Report, PCT/US2007/004908, Feb. 23, 2007.
PCT Written Opinion of the International Searching Authority, PCT/US2007/004908, Feb. 23, 2007.
ACC/AHA/ESC Pocket Guidelines, Mar. 2002.
Armour, J.A., et al., “Gross and Microscopic Anatomy of the Human Intrinsic Cardiac Nervous System”, The Anatomical Record, Feb. 1997, pp. 289-298, vol. 247, No. 2, Wiley-Liss, Inc.
Blackshear, J.L., et al., Thoracoscopic extracardiac obliteration of the left atrial appendage for stroke risk reduction in atrial fibrillation, J Am Coll Cardiol, Oct. 1, 2003, pp. 1249-1252, vol. 42, No. 7.
Chen, S.A., et al., “Initiation of atrial fibrillation by ectopic beats originating from the pulmonary veins: Electrophysiological characteristics, pharmacological responses, and effects of radiofrequency ablation”, Circulation, 1999, pp. 1879-1886, vol. 100.
Cox, J.K., et al., “Electrophysiologic basis, surgical development, and clinical results of the maze procedure for atrial flutter and atrial fibrillation”, Adv. Car Surg, 1995, pp. 1-67, vol. 6.
Cox, J.L., “Impact of the maze procedure on the stroke rate in patients with atrial fibrillation”, J. Thorac Cardiovasc Surg., Nov. 1999, pp. 833-840, vol. 118, No. 5.
Cox, J.L., et al., “Current status of the maze procedure for the treatment of atrial fibrillation”, Semin. Thorac Cardiovasc Surg, 2000, pp. 15-19, vol. 12.
Cox, J.L., et al., “New surgical and catherized modifications of the Maze procedure,” Semin Thorac Cardiovasc Surg, 2000, pp. 68-73, vol. 12.
Cox, J.L., et al., “The development of the maze procedure for the treatment of atrial fibrillation”, Semin Thorac Cardiovasc Surg, 2000, pp. 2-14, vol. 12.
Damiano, R.J., Jr., et al., “The long-term outcome of patients with coronary disease and atrial fibrillation undergoing the Cox maze procedure”, J Thorac Cardiovasc Surg., Dec. 2003, pp. 2016-2021, vol. 126, No. 6.
Deneke, T., et al., “Antiarrhythmic surgery to cure atrial fibrillation—subgroups and postoperative management”, Card Electrophysiol Rev, Sep. 2003, pp. 259-263, vol. 7, No. 3.
Deneke, T., et al., “Efficacy of an additional MAZE procedure using cooled-tip radiofrequency ablation in patients with chronic atrial fibrillation and mitral valve disease. A randomized prospective trial”, Eur Heart J., Apr. 2002, pp. 558-566, vol. 23, No. 7.
Di Tullio, M.R., et al., “Mechanisms of cardioembolic stroke”, Curr Cardiol Rep., 2002, pp. 141-148, vol. 4.
Doshi, R.N., et al., “Relation between Ligament of Marshall and adrenergic atrial tachyarrhythmia”, Circulation, Aug. 24, 1999, pp. 876-83, vol. 100, No. 8.
Feinberg, W.M., et al., “Prevalence, age distribution and gender of patients with atrial fibrillation: analysis and implications,” Arch Intern Med., 1995, pp. 469-473, vol. 155.
Ganjoo, A.K., “A Novel Approach to the Prevention of Thromboembolism in Atrial Fibrillation”, Tex Heart Inst, J., 2001, p. 163, vol. 28, No. 2.
Garrido, M.J., et al., “Minimally Invasive Surgery for Atrial Fibrillation: Toward a Totally Endoscopic, Beating Heart Approach”, J Card Surg., 2004, pp. 216-220, vol. 19.
Gaynor, S.L., et al., “A prospective, single-center clinical trial of a modified Cox maze procedure with bipolar radiofrequency ablation”, The Journal of Thoracic and Cardiovascular Surgery, pp. 535-542, vol. 128, No. 4, 2004.
Gillinov, A.M., et al., “Atrial

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