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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: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: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: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:US20220354572A1
公开(公告)日:2022-11-10
申请号:US17873734
申请日:2022-07-26
Applicant: Boston Scientific Medical Device Limited
Inventor: Gareth Davies , John Paul Urbanski , Rund Abou-Marie
IPC: A61B18/14 , A61B5/00 , A61B5/0215 , A61N1/05
Abstract: Embodiments of medical devices and methods are disclosed. The medical devices typically comprise a flexible elongate member defining a lumen, and a support spine affixed to the distal end and extending proximally therefrom within the elongate member lumen. In some embodiments, the support spine is pre-shaped such that the support spine biases the distal region of the elongate member to adopt a straight configuration, or the support spine biases at least a portion of the distal region of the elongate member to adopt a curved shape to form a curved portion. Some embodiments include apertures at or near the distal end for enabling fluid communication between the lumen and the outside environment. In some embodiments, the support wire extends proximally from the distal end within a distal portion of the lumen such that a proximal portion of the lumen is substantially unobstructed.
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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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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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