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公开(公告)号:US12011210B2
公开(公告)日:2024-06-18
申请号:US16423092
申请日:2019-05-27
Applicant: Boston Scientific Medical Device Limited
Inventor: Gareth Davies , John Paul Urbanski , Ellen Harfield , Mahmood Mirza , Yun Uhm , Linus Leung , Ferryl Alley
CPC classification number: A61B18/1477 , A61B2018/00077 , A61B2018/00083 , A61B2018/00297 , A61B2018/00351 , A61B2018/00601 , A61B18/1206 , A61B2018/1412 , A61B2018/1427 , A61B2018/1467 , A61B2018/1497 , A61B2090/392 , A61B2090/3966 , A61B2218/002
Abstract: A method and apparatus are disclosed for providing forward fluid delivery through an electrosurgical device, while avoiding coring when energy is delivered to the electrosurgical device. The device has a distal face defining an opening, with the distal face including at least one cutting portion and at least one non-cutting portion. An embodiment of the electrosurgical device for puncturing tissue includes an elongate member defining a lumen for fluid; a distal portion including an electrode and the distal face which defines at least one aperture. The portion of the at least one cutting portion defines a leading portion partially surrounding a circumference of the at least one aperture wherein the outer diameter of the at least one of the distal portion of the electrosurgical device or the electrode decreases towards a distal tip of the electrosurgical device.
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公开(公告)号:US20240189025A1
公开(公告)日:2024-06-13
申请号:US18583448
申请日:2024-02-21
Applicant: Boston Scientific Medical Device Limited
Inventor: Gareth Davies , John Paul Urbanski , Rund Abou-Marie
CPC classification number: A61B18/1492 , A61B2018/00077 , A61B2018/00083 , A61B2018/0022 , A61B2018/00351 , A61B2018/00773 , A61B2218/001 , A61B2562/0247
Abstract: An electrosurgical device comprises an electrically conductive elongate member for traversing body vasculature defining a hollow lumen with one or more apertures at or near its distal end, wherein electrical energy can flow through the wall of the elongate member; and an energy delivery device in electrical communication with the elongate member is located distal to the end of the elongate member. The energy delivery device includes an electrode for delivering energy. Methods of using the electrosurgical device include cutting through occlusions and creating transseptal punctures.
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公开(公告)号:US11998238B2
公开(公告)日:2024-06-04
申请号:US17474415
申请日:2021-09-14
Applicant: Boston Scientific Medical Device Limited
Inventor: Gareth Davies , John Paul Urbanski , Ferryl Alley , Bogdan Beca
CPC classification number: A61B17/3478 , A61B18/1492 , A61B90/39 , A61B2017/00247 , A61B2017/003 , A61B2017/22042 , A61B2017/3488 , A61B2018/00351 , A61B2090/3966
Abstract: Novel and unique medical devices and associated methods are disclosed, for a medical device for puncturing tissue at a tissue site. The medical device is an elongate member having a proximal section, a distal section, and a rail section therebetween. The medical device includes an active tip at a distal end of the distal section and is operable to deliver energy to create a puncture through the tissue. The rail section is configured to both act as a rail for supporting installation of one or more tubular members thereupon, as well as be maneuverable for enabling access to the tissue site.
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公开(公告)号:US11937873B2
公开(公告)日:2024-03-26
申请号:US16935533
申请日:2020-07-22
Applicant: Boston Scientific Medical Device Limited
Inventor: Gareth Davies , John Paul Urbanski , Rund Abou-Marie
CPC classification number: A61B18/1492 , A61B2018/00077 , A61B2018/00083 , A61B2018/0022 , A61B2018/00351 , A61B2018/00773 , A61B2218/001 , A61B2562/0247
Abstract: An electrosurgical device comprises an electrically conductive elongate member for traversing body vasculature defining a hollow lumen with one or more apertures at or near its distal end, wherein electrical energy can flow through the wall of the elongate member; and an energy delivery device in electrical communication with the elongate member is located distal to the end of the elongate member. The energy delivery device includes an electrode for delivering energy. Methods of using the electrosurgical device include cutting through occlusions and creating transseptal punctures.
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公开(公告)号:US20230355155A1
公开(公告)日:2023-11-09
申请号:US18351704
申请日:2023-07-13
Applicant: Boston Scientific Medical Device Limited
Inventor: Gareth Davies , Lauren Koon , John Paul Urbanski , Eduardo Moriyama
Abstract: A medical dilator includes an elongate member having a proximal end portion, an opposed distal end portion, and a lumen extending through the elongate member from the proximal end portion to the distal end portion. A dilating tip is at the distal end portion. The dilating tip has a first end of enlarged cross-sectional area and tapers going in the distal direction to a second end of reduced cross-sectional area. At least a first electrode is associated with the dilating tip. An electrical conductor is electrically connected to the first electrode and extends proximally from the first electrode towards the proximal end portion for electrical connection with an electroanatomical mapping system.
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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:US20230181244A1
公开(公告)日:2023-06-15
申请号:US17924212
申请日:2021-06-01
Applicant: Boston Scientific Medical Device Limited
Inventor: Christian Balkovec , Gareth Davies , John Paul Urbanski
CPC classification number: A61B18/1492 , A61M25/0136 , A61M25/0113 , A61B2018/1425 , A61M29/02
Abstract: An elongated support assembly is positionable, at least in part, in sliding relationship with an elongated flexible medical assembly. The elongated support assembly is configured to support, at least in part, the elongated flexible medical assembly after the elongated support assembly is positioned, at least in part, in sliding relationship with the elongated flexible medical assembly. The elongated support assembly is, at least in part, selectively maneuverable via an elongated ancillary medical assembly toward a distal portion of the elongated ancillary medical assembly.
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公开(公告)号:US12005202B2
公开(公告)日:2024-06-11
申请号:US17393487
申请日:2021-08-04
Applicant: Boston Scientific Medical Device Limited
Inventor: John Paul Urbanski
CPC classification number: A61M25/0138 , A61M25/06 , A61M2205/0216 , A61M2210/122 , A61M2210/125
Abstract: An elongated catheter includes a tissue-engaging device configured to be urged to move and contact a first surface of the first biological wall. The tissue-engaging device extends from the distal catheter section. The tissue-engaging device is configured to be urged to puncture through the first biological wall. The tissue-engaging device is also configured to be urged to contact the first biological wall without impinging the second biological wall, after the tissue-engaging device has punctured through the first biological wall.
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公开(公告)号:US20240090939A1
公开(公告)日:2024-03-21
申请号:US18526904
申请日:2023-12-01
Applicant: Boston Scientific Medical Device Limited
Inventor: Gareth Davies , John Paul Urbanski , Ellen Harfield , Mahmood Mirza , Yun Uhm , Linus Leung , Ferryl Alley
IPC: A61B18/14
CPC classification number: A61B18/1477 , A61B2018/1412 , A61B2018/1467 , A61B2090/3966
Abstract: A method and apparatus are disclosed for providing forward fluid delivery through an electrosurgical device, while avoiding coring when energy is delivered to the electrosurgical device. The device has a distal face defining an opening, with the distal face including at least one cutting portion and at least one non-cutting portion. An embodiment of the electrosurgical device for puncturing tissue includes an elongate member defining a lumen for fluid; a distal portion including an electrode and the distal face which defines at least one aperture. The portion of the at least one cutting portion defines a leading portion partially surrounding a circumference of the at least one aperture wherein the outer diameter of the at least one of the distal portion of the electrosurgical device or the electrode decreases towards a distal tip of the electrosurgical device.
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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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