公开(公告)号：US09687167B2

公开(公告)日：2017-06-27

申请号：US14633672

申请日：2015-02-27

Applicant: BOSTON SCIENTIFIC SCIMED, INC.

Inventor： Jacob I. Laughner ,  Shibaji Shome ,  Scott A. Meyer

IPC: A61B5/04 ,  A61B5/0452 ,  A61B5/042 ,  A61B5/00 ,  A61B5/046 ,  G06K9/00 ,  A61B18/14 ,  A61B18/00

CPC classification number: A61B5/0452 ,  A61B5/042 ,  A61B5/0422 ,  A61B5/046 ,  A61B5/6852 ,  A61B5/6858 ,  A61B5/725 ,  A61B5/7253 ,  A61B5/726 ,  A61B5/7264 ,  A61B18/1492 ,  A61B2018/00214 ,  A61B2018/00267 ,  A61B2018/00357 ,  A61B2018/00577 ,  A61B2018/00773 ,  A61B2018/00839 ,  G06K9/00536

Abstract: Medical devices and methods for making and using medical devices are disclosed. A method of mapping electrical activity of a heart may comprise sensing a plurality of signals with a plurality of electrodes positioned within the heart. The method may further comprise separating the plurality of signals into a first group of signals and a second group of signals, and generating a data set that includes at least one known data point and one or more unknown data points. In some examples, the at least one known data point is generated based on the first group of signals.

公开(公告)号：US09675416B2

公开(公告)日：2017-06-13

申请号：US14661307

申请日：2015-03-18

Applicant: BIOSENSE WEBSTER (ISRAEL) LTD.

Inventor： Assaf Govari ,  Christopher Thomas Beeckler ,  Joseph Thomas Keyes ,  Athanassios Papaioannou

IPC: A61B18/18 ,  A61B18/22 ,  A61B18/24 ,  A61B18/14 ,  A61B18/00 ,  A61B17/00 ,  A61B5/00 ,  A61B5/042

CPC classification number: A61B18/22 ,  A61B5/0084 ,  A61B5/0422 ,  A61B5/6852 ,  A61B18/1492 ,  A61B18/24 ,  A61B2017/00066 ,  A61B2018/00577 ,  A61B2018/00642 ,  A61B2018/00666 ,  A61B2018/00708 ,  A61B2018/00773

Abstract: Tissue ablation is carried out using a probe having a distal conductive cap. At least one optical fiber is contained within the probe and terminates in proximity to an outer surface of the conductive cap. The optical fiber conveys optical radiation to the tissue while the power generator is activated and receives reflected optical radiation. An optical module measures the received reflected optical radiation, and a processor linked to the optical module analyzes the reflected optical radiation to determine impending steam pop events.

公开(公告)号：US20170105786A1

公开(公告)日：2017-04-20

申请号：US14885341

申请日：2015-10-16

Applicant: Ethicon Endo-Surgery, LLC

Inventor： Charles J. Scheib ,  Mark S. Zeiner ,  David C. Yates ,  Michael J. Vendely

IPC: A61B18/14 ,  A61B18/12 ,  A61B17/068

CPC classification number: A61B18/1445 ,  A61B17/068 ,  A61B17/07207 ,  A61B18/1206 ,  A61B18/1442 ,  A61B2017/00017 ,  A61B2017/00123 ,  A61B2017/00398 ,  A61B2017/07228 ,  A61B2017/07257 ,  A61B2017/07271 ,  A61B2018/00589 ,  A61B2018/00601 ,  A61B2018/00607 ,  A61B2018/0063 ,  A61B2018/00642 ,  A61B2018/00702 ,  A61B2018/00708 ,  A61B2018/00773 ,  A61B2018/1455 ,  A61B2018/1495 ,  A61B2090/061 ,  A61B2090/067

Abstract: Aspects of the present disclosure include a surgical device comprising electrodes on the sides of an end of an effector to aide in sealing during various surgical procedures, such as a liver resection. During a sealing procedure, the surgeon may wipe the surgical site with the end effector, causing the electrodes to touch the fractured area. Electrosurgical energy may be applied to the electrodes during the wiping, causing coagulation of smaller vessels, such as tiny blood vessels and bile ducts in the parenchyma of the liver. In some cases, due to the nature of some smaller vessels, electrosurgical energy should be delicately applied to cause sealing but to avoid overly damaging the remaining tissue. In some embodiments, the thin design of the electrodes allows for an appropriate amount of electrosurgical energy to be applied to the fractured area.

公开(公告)号：US20170089962A1

公开(公告)日：2017-03-30

申请号：US15377740

申请日：2016-12-13

Applicant: COVIDIEN LP

Inventor： WAYNE L. MOUL ,  ROBERT J. BEHNKE, II ,  SCOTT E.M. FRUSHOUR ,  JEFFREY L. JENSEN

IPC: G01R23/02 ,  G01R25/00

CPC classification number: G01R23/02 ,  A61B18/1206 ,  A61B18/1815 ,  A61B2018/00642 ,  A61B2018/00773 ,  A61B2018/128 ,  A61B2018/1823 ,  G01R23/00 ,  G01R23/145 ,  G01R25/00 ,  G01R25/02

Abstract: A digital measurement system includes an oscillator, a mixer, and a controller coupled to each other. The oscillator provides a reference signal having a second frequency. The mixer generates a down-converted signal based on the output signal and the reference signal. The controller then determines a characteristic of the output signal (e.g., frequency or phase) based on the down-converted signal. An analog measurement system includes a filter having a center frequency, a rectifier, and a controller. The filter filters the output signal and the rectifier rectifies the filtered signal. The controller samples the rectified signal and determines a characteristic of the output signal based on the level of the rectified signal. The reference signal controller may adjust a characteristic of the output signal based on the determined frequency and/or phase of the output signal.

公开(公告)号：US20170086748A1

公开(公告)日：2017-03-30

申请号：US15373162

申请日：2016-12-08

Applicant: MC10, Inc.

Inventor： Roozbeh Ghaffari ,  Robert D'Angelo ,  Bassel De Graff ,  Kevin Dowling ,  Yung-Yu Hsu ,  Lauren E. Klinker ,  Stephen P. Lee ,  Cliff Liu

IPC: A61B5/00 ,  A61B5/042 ,  A61M25/10 ,  A61B18/14 ,  A61B6/12 ,  A61N7/02 ,  A61B18/02 ,  A61B5/0215 ,  A61B5/026 ,  A61B5/053 ,  A61B18/24

CPC classification number: A61B5/0538 ,  A61B5/02158 ,  A61B5/026 ,  A61B5/036 ,  A61B5/0422 ,  A61B5/6853 ,  A61B5/6858 ,  A61B5/742 ,  A61B6/12 ,  A61B18/02 ,  A61B18/1492 ,  A61B18/18 ,  A61B18/20 ,  A61B18/24 ,  A61B2017/00526 ,  A61B2018/0016 ,  A61B2018/0022 ,  A61B2018/00267 ,  A61B2018/00577 ,  A61B2018/00642 ,  A61B2018/00648 ,  A61B2018/00773 ,  A61B2018/00791 ,  A61B2018/00839 ,  A61B2018/00875 ,  A61B2018/0212 ,  A61B2090/065 ,  A61B2562/046 ,  A61B2562/125 ,  A61B2562/222 ,  A61M25/1002 ,  A61N7/02 ,  A61N7/022 ,  A61N2007/0078 ,  Y10T29/49002 ,  Y10T156/1089

Abstract: An apparatus for medical diagnosis and/or treatment is provides. The apparatus includes a flexible substrate forming an inflatable body and a plurality of sensing elements disposed on the flexible substrate. The plurality of sensing elements are disposed about the inflatable body such that the sensing elements are disposed at areas of minimal curvature of the inflatable body in a deflated state.

公开(公告)号：US20160296276A1

公开(公告)日：2016-10-13

申请号：US15181042

申请日：2016-06-13

Applicant: COVIDIEN LP

Inventor： ARNOLD V. DECARLO ,  WILLIAM O. REID, JR.

IPC: A61B18/14 ,  A61B90/00

CPC classification number: A61B18/1477 ,  A61B18/14 ,  A61B90/08 ,  A61B2017/0023 ,  A61B2017/00473 ,  A61B2017/00477 ,  A61B2018/00023 ,  A61B2018/00083 ,  A61B2018/00172 ,  A61B2018/00178 ,  A61B2018/00577 ,  A61B2018/00773 ,  A61B2018/0091 ,  A61B2018/00988 ,  A61B2018/143 ,  A61B2018/1495 ,  A61B2090/0803 ,  A61B2090/0804 ,  A61B2090/0806 ,  A61B2090/0808 ,  A61B2090/0813 ,  A61B2090/0814

Abstract: A surgical instrument includes a reusable component and a limited-use component releasably engagable with the reusable component. The limited-use component is configured for one or more uses and includes a clocking mechanism configured to count each engagement of the reusable component and the limited-use component to one another. The clocking mechanism is incrementally transitionable upon each successive count from one or more uses state, wherein the clocking mechanism permits both mechanical engagement and electrical coupling of the reusable component and the limited-use component to one another, to a spent state, wherein the clocking mechanism inhibits both mechanical engagement and electrical coupling of the limited-use component and the reusable component to one another.

Abstract translation: 手术器械包括可重复使用的部件和可释放地与可重复使用部件接合的有限使用部件。 有限使用组件被配置为一个或多个用途，并且包括配置成计数可重用组件和有限使用组件彼此之间的每个接合的计时机构。 时钟机构在从一个或多个使用状态的每个连续计数时可递增地转换，其中所述计时机构允许所述可重复使用组件与所述有限使用组件的机械接合和电耦合到彼此之间，其中所述计时 机构抑制有限使用部件和可重复使用部件彼此的机械接合和电耦合。

公开(公告)号：US20160249983A1

公开(公告)日：2016-09-01

申请号：US15033807

申请日：2014-11-06

Applicant: KONINKLIJKE PHILIPS N.V.

Inventor： JONATHAN ALAMBRA PALERO ,  MARTIN JURNA ,  BABU VARGHESE ,  MARGARET RUTH HORTON

IPC: A61B18/20

CPC classification number: A61B18/203 ,  A61B2017/00026 ,  A61B2017/00057 ,  A61B2018/0047 ,  A61B2018/00773 ,  A61B2018/20355 ,  A61B2018/20361 ,  A61B2090/065 ,  A61B2562/0247

Abstract: The invention provides a non-invasive skin treatment device (200) comprising: a light source (10) constructed for emitting treatment light (15), an optical system (20) constructed for focusing the treatment light along an optical axis (OA) to a focus position (320) inside the skin tissue (300), and an indenter (30) comprising a skin contact surface (34) having an aperture (A1) at a distance from the optical system for allowing the treatment light to be focused through the aperture into the skin tissue. The indenter is configured and constructed for generating, in a cross-section of the aperture taken along the optical axis and along a cross-section direction wherein the aperture has a width dimension, a maximally curved protrusion of skin tissue freely protruding through the aperture towards the optical system by pressing the indenter against the skin surface of a specific skin type with a pressure exceeding a predefined pressure, a skin surface of said maximally curved protrusion having a radius of curvature (RC) at an intersection with the optical axis. The optical system is configured and constructed for generating a focused beam of the treatment light having, in said cross-section of the aperture at said intersection, a wave front with a radius of curvature ranging between 75% and 125% of said radius of curvature (RC) of the skin surface of said maximally curved protrusion.

Abstract translation: 本发明提供一种非侵入性皮肤治疗装置（200），包括：被构造用于发射治疗光的光源（10），被构造用于沿着光轴（OA）聚焦治疗光的光学系统（20） 皮肤组织（300）内的聚焦位置（320）以及包括具有与光学系统相距一定距离的孔（A1）的皮肤接触表面（34）的压头（30），用于允许治疗光聚焦 孔进入皮肤组织。 压头被构造和构造成在沿着光轴截取的孔的横截面中沿着其中孔具有宽度尺寸的横截面方向产生，皮肤组织的最大弯曲的突起自由地突出穿过孔朝向 所述光学系统通过以超过预定压力的压力将压头压在特定皮肤类型的皮肤表面上，所述最大弯曲突起的皮肤表面在与光轴交叉处具有曲率半径（RC）。 所述光学系统被构造和构造成用于产生处理光的聚焦光束，所述聚焦光束在所述交点处的所述孔的所述横截面中具有在所述曲率半径的75％至125％之间的曲率半径 （RC）的所述最大弯曲的突起的皮肤表面。

公开(公告)号：US09364278B2

公开(公告)日：2016-06-14

申请号：US13460440

申请日：2012-04-30

Applicant: Arnold V. DeCarlo ,  William O. Reid, Jr.

Inventor： Arnold V. DeCarlo ,  William O. Reid, Jr.

IPC: A61B18/14 ,  A61B17/00 ,  A61B18/00 ,  A61B19/00

CPC classification number: A61B18/1477 ,  A61B18/14 ,  A61B90/08 ,  A61B2017/0023 ,  A61B2017/00473 ,  A61B2017/00477 ,  A61B2018/00023 ,  A61B2018/00083 ,  A61B2018/00172 ,  A61B2018/00178 ,  A61B2018/00577 ,  A61B2018/00773 ,  A61B2018/0091 ,  A61B2018/00988 ,  A61B2018/143 ,  A61B2018/1495 ,  A61B2090/0803 ,  A61B2090/0804 ,  A61B2090/0806 ,  A61B2090/0808 ,  A61B2090/0813 ,  A61B2090/0814

Abstract: A surgical instrument includes a reusable component and a limited-use component releasably engagable with the reusable component. The limited-use component is configured for one or more uses and includes a clocking mechanism configured to count each engagement of the reusable component and the limited-use component to one another. The clocking mechanism is incrementally transitionable upon each successive count from one or more uses state, wherein the clocking mechanism permits both mechanical engagement and electrical coupling of the reusable component and the limited-use component to one another, to a spent state, wherein the clocking mechanism inhibits both mechanical engagement and electrical coupling of the limited-use component and the reusable component to one another.

Abstract translation: 手术器械包括可重复使用的部件和可释放地与可重复使用部件接合的有限使用部件。 有限使用组件被配置为一个或多个用途，并且包括配置成计数可重用组件和有限使用组件彼此之间的每个接合的计时机构。 时钟机构在从一个或多个使用状态的每个连续计数时可递增地转换，其中所述计时机构允许所述可重复使用组件与所述有限使用组件的机械接合和电耦合到彼此之间，其中所述计时 机构抑制有限使用部件和可重复使用部件彼此的机械接合和电耦合。

公开(公告)号：US20160113703A1

公开(公告)日：2016-04-28

申请号：US14989147

申请日：2016-01-06

Applicant: Asthmatx, Inc.

Inventor： Christopher J. DANEK ,  Michael BIGGS ,  Bryan E. LOOMAS ,  Michael D. LAUFER ,  Gary S. KAPLAN ,  Kelly M. SHRINER ,  William J. WIZEMAN

IPC: A61B18/14

CPC classification number: A61B1/00085 ,  A61B5/053 ,  A61B5/0538 ,  A61B5/08 ,  A61B5/0809 ,  A61B5/1076 ,  A61B5/411 ,  A61B5/4519 ,  A61B5/4836 ,  A61B5/4878 ,  A61B5/6853 ,  A61B5/6858 ,  A61B10/04 ,  A61B18/06 ,  A61B18/14 ,  A61B18/1492 ,  A61B18/18 ,  A61B2010/045 ,  A61B2017/00106 ,  A61B2017/00809 ,  A61B2018/00214 ,  A61B2018/00541 ,  A61B2018/00773 ,  A61B2018/00875 ,  A61B2018/00898 ,  A61B2018/1472 ,  A61B2090/061 ,  A61B2090/064 ,  A61N5/1001

Abstract: This relates to treating airways in a lung to decrease asthmatic symptoms. The also includes steps of measuring a parameter of an airway at a plurality of locations in a lung, identifying at least one treatment site from at least one of the plurality of locations based on the parameter, and applying energy to the treatment site to reduce the ability of the site to narrow.

公开(公告)号：US09314300B2

公开(公告)日：2016-04-19

申请号：US14868455

申请日：2015-09-29

Applicant: St. Jude Medical, Cardiology Division, Inc.

Inventor： Yelena Nabutovsky ,  Edward Karst ,  Fujian Qu

IPC: A61B18/18 ,  A61B18/14 ,  A61B18/00

CPC classification number: A61B18/1492 ,  A61B5/0215 ,  A61B5/6853 ,  A61B18/18 ,  A61B2018/0022 ,  A61B2018/00267 ,  A61B2018/00285 ,  A61B2018/00404 ,  A61B2018/00434 ,  A61B2018/00505 ,  A61B2018/00511 ,  A61B2018/00577 ,  A61B2018/00642 ,  A61B2018/00744 ,  A61B2018/00761 ,  A61B2018/00773 ,  A61B2018/00863 ,  A61B2090/064

Abstract: A renal denervation system includes an ablation catheter and an inflation balloon. The renal denervation catheter is insertable into a renal artery to perform a renal denervation procedure. The inflation balloon is inflatable within the renal artery, wherein one of a blood pressure condition in the renal artery resulting from operation of the inflation balloon and a performance characteristic of the inflation balloon indicates efficacy of the renal denervation procedure.