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公开(公告)号:US11801087B2
公开(公告)日:2023-10-31
申请号:US17095984
申请日:2020-11-12
Applicant: Boston Scientific Medical Device Limited
Inventor: John Paul Urbanski , Brock Miller , Matthew Gravett , Rund Abou-Marie , Kai-Lon Fok , Maria Luk , Ahmad Kamal
CPC classification number: A61B18/1477 , A61B2018/00136 , A61B2018/00363 , A61B2018/00577 , A61B2018/00839 , A61B2018/144 , A61B2090/3966
Abstract: Methods and apparatus are disclosed for puncturing tissue, including a surgical introducer with a stiff main body and a flexible tip which can be used with a puncture device to gain epicardial access. The surgical introducer comprises an introducer shaft having a rigid portion and a flexible tip portion. The rigid portion has a metal tube extending to the rigid portion distal end. The flexible tip portion is distal of the metal tube distal end. The flexible tip portion includes a first polymer and a second polymer, wherein the second polymer is more flexible than the first polymer. The second polymer extends distally from the metal tube distal end to define a second polymer flexible tip segment. The first polymer extends distally from the second polymer flexible tip segment end to define a flexible tip portion cap.
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公开(公告)号:US20230200892A1
公开(公告)日:2023-06-29
申请号:US18179670
申请日:2023-03-07
Applicant: Boston Scientific Medical Device Limited
Inventor: Brock Miller , Matthew Gravett
IPC: A61B18/14
CPC classification number: A61B18/1482 , A61B2018/00601
Abstract: A system of medical devices includes a radiofrequency generator, a stylet, and an introducer. The stylet includes an elongate shaft having a shaft proximal portion and a shaft distal portion defining a shaft distal end. The shaft is rigid. A radiofrequency puncture electrode is at the shaft distal end. The radiofrequency puncture electrode is electrically connectable to the radiofrequency generator. The introducer includes an elongate tube extending between a tube proximal portion and a tube distal portion defining a tube distal end. The shaft is receivable in the tube with the electrode proud of the tube distal end.
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公开(公告)号:US20230149067A1
公开(公告)日:2023-05-18
申请号:US18151331
申请日:2023-01-06
Applicant: Boston Scientific Medical Device Limited
Inventor: Brock Miller , Matthew Gravett
CPC classification number: A61B18/1482 , A61B18/1206 , A61B2018/00363
Abstract: A system of medical devices includes an introducer, a puncture device, and an indicator system. The introducer has a lumen extending therethrough from a proximal end thereof a distal end thereof, and includes a first indicator electrode that faces radially inwardly toward the lumen. The puncture device has a radiofrequency puncture electrode at a distal end thereof, and a second indicator electrode that is positioned proximal of the radiofrequency puncture electrode and that faces radially outwardly.
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公开(公告)号:US20250009348A1
公开(公告)日:2025-01-09
申请号:US18763062
申请日:2024-07-03
Applicant: Boston Scientific Medical Device Limited
Inventor: Brock Miller , Kai-Lon Fok , Matthew Gravett
Abstract: A perforation system for accessing a location in or near a patient's heart is disclosed. The system includes a puncture device having a proximal portion and a distal portion including a distal tip. The system further includes an elongated introducer defining a lumen adapted to receive and allow longitudinal translation of the puncture device therein, the elongated introducer having an introducer proximal portion and an introducer distal portion, the introducer proximal portion including a locking hub. The locking hub includes a slot and an engaging surface configured so that the proximal portion can be positioned in the slot and against the engaging surface, so as to generate a securing frictional force between the proximal portion and the engaging surface, the securing friction force sufficient to inhibit the longitudinal translation of the puncture device with respect to the elongated introducer.
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公开(公告)号:US20240407838A1
公开(公告)日:2024-12-12
申请号:US18737632
申请日:2024-06-07
Applicant: Boston Scientific Medical Device Limited
Inventor: Brock Miller , Kai-Lon Fok , Matthew Gravett
Abstract: A radiofrequency guidewire is disclosed. The system includes a core wire having a tapered section, a first insulator portion having a first insulator property and a first insulator length, and a second insulator portion having a second insulator property and a second insulator length. The first insulator portion and the second insulator portion are positioned along the core wire so as to form an overlap portion aligned with the tapered section of the core wire.
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公开(公告)号:US12042178B2
公开(公告)日:2024-07-23
申请号:US17377714
申请日:2021-07-16
Applicant: Boston Scientific Medical Device Limited
Inventor: Brock Miller , Matthew Gravett , Kai-Lon Fok , Rund Abou-Marie
CPC classification number: A61B17/3478 , A61B1/313 , A61B6/12 , A61B6/485 , A61B17/3403 , A61B18/1477 , A61B2018/00363 , A61B2090/3966
Abstract: A system of medical devices includes a needle, an endoscope, and an introducer. The needle extends between a needle proximal portion and a needle distal portion having a puncturing tip. The endoscope extends between an endoscope proximal portion and an endoscope distal portion having a camera. The introducer is for guiding the needle and the endoscope towards a target location. The introducer extends between an introducer proximal portion and an introducer distal portion and has a first lumen extending therethrough from the introducer proximal portion to the introducer distal portion and a second lumen extending therethrough from the introducer proximal portion to the introducer distal portion. The needle is advanceable through the first lumen to position the puncturing tip proud of the introducer distal portion and the endoscope is advanceable through the second lumen to position the camera proximate the introducer distal portion and outside of the lumen.
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公开(公告)号:US20230293858A1
公开(公告)日:2023-09-21
申请号:US18184794
申请日:2023-03-16
Applicant: Boston Scientific Medical Device Limited
Inventor: Christian Balkovec , Brock Miller , Yun Uhm , Foss Jiao , Yan Yue
IPC: A61M25/09
CPC classification number: A61M25/09 , A61M2025/09166 , A61M2025/09175
Abstract: A method and apparatus are disclosed for a guidewire that comprises an elongate member with a proximal and distal portion. The distal portion includes a distal curved portion, ending in a distal tip, and a tapered region that reduces the cross-section from a larger cross-section to a smaller cross-section. The elongate member further includes a plurality of flattened regions positioned at discrete locations along the elongate member. Each of the plurality of flattened regions are separated from one another by an unflattened region whereby when a force is exerted onto the guidewire, the guidewire undergoes bending at the plurality of flattened regions.
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公开(公告)号:US20230389980A1
公开(公告)日:2023-12-07
申请号:US18453585
申请日:2023-08-22
Applicant: BOSTON SCIENTIFIC MEDICAL DEVICE LIMITED
Inventor: John Paul Urbanski , Brock Miller , Rund Abou-Marie
IPC: A61B18/14
CPC classification number: A61B18/1477 , A61B18/1492 , A61B2018/00351
Abstract: A method and apparatus are disclosed for a needle for gaining access to the pericardial cavity of a heart. The needle includes an elongate member (e.g. a main shaft) defining a lumen and a side-port in fluid communication with the lumen; a blunt atraumatic tip for delivering energy for puncturing tissue; and a guiding surface (e.g. a ramp) for directing a device (e.g. a guidewire) through the side-port. The method includes using the needle for tenting a pericardium and delivering energy for puncturing the pericardium, and advancing a guidewire or other device through the needle and into the pericardial cavity.
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公开(公告)号:US11766290B2
公开(公告)日:2023-09-26
申请号:US17014144
申请日:2020-09-08
Applicant: Boston Scientific Medical Device Limited
Inventor: John Paul Urbanski , Brock Miller , Rund Abou-Marie
IPC: A61B18/14 , A61B18/00 , A61B17/34 , A61B90/00 , A61B17/3207
CPC classification number: A61B18/1477 , A61B18/1492 , A61B17/3417 , A61B2017/320791 , A61B2018/00083 , A61B2018/00196 , A61B2018/00351 , A61B2018/00363 , A61B2018/00577 , A61B2018/00601 , A61B2090/3966
Abstract: A method and apparatus are disclosed for a needle for gaining access to the pericardial cavity of a heart. The needle includes an elongate member (e.g. a main shaft) defining a lumen and a side-port in fluid communication with the lumen; a blunt atraumatic tip for delivering energy for puncturing tissue; and a guiding surface (e.g. a ramp) for directing a device (e.g. a guidewire) through the side-port. The method includes using the needle for tenting a pericardium and delivering energy for puncturing the pericardium, and advancing a guidewire or other device through the needle and into the pericardial cavity.
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公开(公告)号:US20240032991A1
公开(公告)日:2024-02-01
申请号:US18479390
申请日:2023-10-02
Applicant: BOSTON SCIENTIFIC MEDICAL DEVICE LIMITED
Inventor: John Paul Urbanski , Brock Miller , Matthew Gravett , Rund Abou-Marie , Kai-Lon Fok , Maria Luk , Ahmad Kamal
CPC classification number: A61B18/1477 , A61B5/318 , A61B2018/00839
Abstract: An elongated medical sheath is configured to be movable and positionable proximate to a biological feature of a patient. An expandable-and-collapsible support structure is configured to be selectively movable, at least in part, between an interior of the elongated medical sheath and an exterior of the elongated medical sheath. An energy-emitting assembly is supported by the expandable-and-collapsible support structure.
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