公开(公告)号：US11986209B2

公开(公告)日：2024-05-21

申请号：US17185202

申请日：2021-02-25

申请人： Boston Scientific Medical Device Limited

发明人： Matthew DiCicco ,  Gareth Davies ,  Eduardo Moriyama ,  John Paul Urbanski

IPC分类号： A61B17/34 ,  A61B17/00

CPC分类号： A61B17/3423 ,  A61B17/3476 ,  A61B2017/00053 ,  A61B2017/3425

摘要： Methods and devices are disclosed for the formation of a communication between the aorta and left atrium. The method includes introducing a puncturing device, positioning the device at a location along the aorta, and advancing the puncturing device to create a pathway. The method may include: a. via an inferior artery, advancing a perforating tip of the puncturing device towards the aorta; b. positioning the perforating tip adjacent a wall of the aorta, proximate the left atrium; and c. advancing the perforating tip to perforate through the wall of the aorta and then through a wall of the left atrium, to create a pathway between the aorta and the left atrium, wherein the creation of the pathway can be confirmed with at least one of fluoroscopy, electro-anatomical mapping, pressure measurement, contrast injection, and echocardiograph.

公开(公告)号：US11717274B2

公开(公告)日：2023-08-08

申请号：US16986248

申请日：2020-08-05

申请人： John Steele Fisher

发明人： John Steele Fisher ,  Wayne A. Noda ,  Daniel Hyman ,  Jon Jacobson

IPC分类号： A61B10/02 ,  A61B17/34 ,  A61B17/32

CPC分类号： A61B10/0283 ,  A61B17/3476 ,  A61B2017/32007

摘要： A syringe is coupled to a biopsy needle through a coupling structure that includes a motor-driven element such as a gear to rotate the needle. The motor can oscillate back and forth to cause the needle to oscillate. Structures are described to permit one-handed operation of the device and automatic motor activation based on attaining a desired plunger position.

公开(公告)号：US20230157725A1

公开(公告)日：2023-05-25

申请号：US18094657

申请日：2023-01-09

申请人： TELEFLEX LIFE SCIENCES LIMITED

发明人： John MORGAN ,  Larry J. MILLER ,  Robert W. TITKEMEYER ,  Chris KILCOIN

IPC分类号： A61B17/34 ,  A61B10/02

CPC分类号： A61B17/3476 ,  A61B17/3472 ,  A61B10/025 ,  A61B17/1637

摘要： Powered drivers operable to insert an intraosseous device into a bone and associated bone marrow are disclosed. Some of the present powered drivers may include a housing having a distal end and a proximal end; a motor disposed in the housing; a driveshaft at the distal end of the housing; and a gearbox coupled to the motor and to the driveshaft. Activation of the motor causes rotation of the driveshaft. The housing may include a power source configured to power the motor. The driveshaft may be slidably disposed in the housing and configured such that, upon application of a threshold force on the driveshaft in the direction of the proximal end of the housing, the driveshaft will slide toward the proximal end of the housing to cause an electrical circuit between the motor and the power source to close.

公开(公告)号：US20190216503A1

公开(公告)日：2019-07-18

申请号：US16364981

申请日：2019-03-26

申请人： TERUMO KABUSHIKI KAISHA

发明人： Seiichi Otsubo

IPC分类号： A61B17/34 ,  A61B18/14

CPC分类号： A61B17/3476 ,  A61B17/00234 ,  A61B17/34 ,  A61B17/3462 ,  A61B18/1487 ,  A61B2017/00867 ,  A61B2017/2905 ,  A61B2018/00827 ,  A61L29/041 ,  A61M25/00

摘要： A medical device and a treatment method are disclosed which allow easy formation of a hole using energy and easy expansion of the formed hole without loss of tissue and allow an increase in working efficiency. A medical device is disclosed for forming a hole in a tissue in a living body and expanding the hole, the medical device including: a dilator having a first lumen formed inside and having a tip portion in which the first lumen opens on a distal side; and an output unit that outputs energy for denaturing the tissue and forming a hole, in which the output unit is disposed on a tip portion and formed discontinuously in the circumferential direction of the tip portion, and the outer diameter of the tip portion gradually decreases toward the distal side.

公开(公告)号：US20190159808A1

公开(公告)日：2019-05-30

申请号：US15821973

申请日：2017-11-24

申请人： RAINBOW MEDICAL LTD.

发明人： Gideon FOSTICK ,  Ilan UCHITEL ,  Evgeni VENISLAVSKI ,  Michael LIS

IPC分类号： A61B17/34

CPC分类号： A61B17/3476 ,  A61B17/3403 ,  A61B17/3478 ,  A61B17/3496 ,  A61B90/361 ,  A61B2017/00022 ,  A61B2017/00247 ,  A61B2017/00561 ,  A61B2017/00902 ,  A61B2017/306 ,  A61B2017/3409 ,  A61B2017/3488

摘要： Apparatus is provided including a surgical tool configured to be advanced distally within a body of a subject. The surgical tool is shaped to define a side-facing suction port at a distal portion of the surgical tool to facilitate drawing tissue through the suction port and into the surgical tool, and includes a slidable transparent shutter configured to be disposed over the suction port, and to be slidably removed from the suction port. A needle is configured to be slidably disposed within the surgical tool and configured to puncture the tissue while the tissue is in the surgical tool.

公开(公告)号：US20180317964A1

公开(公告)日：2018-11-08

申请号：US15946327

申请日：2018-04-05

申请人： Covidien LP

发明人： Christopher Kelly Evans ,  Anthony Calderoni

IPC分类号： A61B17/34 ,  A61B17/00 ,  A61B17/32 ,  A61B17/072

CPC分类号： A61B17/3476 ,  A61B17/00234 ,  A61B17/072 ,  A61B17/07207 ,  A61B17/320016 ,  A61B90/03 ,  A61B2017/00017 ,  A61B2017/00039 ,  A61B2017/00075 ,  A61B2017/00123 ,  A61B2017/00389 ,  A61B2017/00398 ,  A61B2017/0046 ,  A61B2017/00464 ,  A61B2017/00477 ,  A61B2017/00725 ,  A61B2017/00734

摘要： A surgical instrument includes: an end effector; a power source; a motor coupled to the power source, the motor configured to actuate the end effector; and a controller operatively coupled to the motor and configured to control the motor based on a current draw of the motor and an angular velocity of the motor.

公开(公告)号：US20180317963A1

公开(公告)日：2018-11-08

申请号：US16030333

申请日：2018-07-09

申请人： TELEFLEX MEDICAL DEVICES S.À R.L.

发明人： Larry J. MILLER

IPC分类号： A61B17/34 ,  A61B17/16 ,  A61B17/32 ,  A61M5/168 ,  A61M5/158 ,  A61B17/00 ,  A61B17/3205 ,  A61B90/11

CPC分类号： A61B17/3472 ,  A61B17/1637 ,  A61B17/32002 ,  A61B17/32053 ,  A61B17/3476 ,  A61B90/11 ,  A61B2017/00022 ,  A61B2017/00477 ,  A61B2017/00734 ,  A61B2017/3492 ,  A61M5/158 ,  A61M5/16836 ,  A61M2005/1581 ,  A61M2005/1585 ,  A61M2005/1588 ,  A61M2205/18 ,  A61M2205/3344 ,  A61M2210/02 ,  A61M2210/08 ,  A61M2210/086 ,  A61M2230/005 ,  A61M2230/20 ,  A61M2230/50 ,  A61M2250/00

摘要： A system and method are provided to monitor performance of an intraosseous device by using a supporting structure and an attachment mechanism. The attachment mechanism releasably secures the supporting structure proximate an insertion site for the intraosseous device. The supporting structure includes an opening formed therein and sized to receive at least a portion of the intraosseous device. A sensor detects parameters associated with providing fluids and/or medications through the intraosseous device to the bone marrow. The attachment mechanism and the supporting structure cooperate with each other to minimize movement of the intraosseous device relative to the insertion site when the portion of the intraosseous device is disposed in the opening of the supporting structure.

公开(公告)号：US20180256209A1

公开(公告)日：2018-09-13

申请号：US15914964

申请日：2018-03-07

申请人： Piper Access, LLC

发明人： Jay Muse ,  Ryan S. VanDyke

IPC分类号： A61B17/34

CPC分类号： A61B17/3496 ,  A61B17/1617 ,  A61B17/1633 ,  A61B17/3472 ,  A61B17/3476 ,  A61B17/3494 ,  A61B2017/00398 ,  A61B2017/00477 ,  A61B2017/00876 ,  A61B2017/347

摘要： A system for intraosseous access can include an elongated instrument that is positioned within a cannula portion of a cannula assembly. The system can include a shield that is coupled with both the elongated instrument and the cannula assembly when in an unlocked state. The shield can permit proximal movement of the elongated instrument relative thereto when in the unlocked state. The shield can automatically transition to a locked state to attach to a distal end of the elongated instrument to restrict access to a distal tip of the elongated instrument.

公开(公告)号：US20180206885A1

公开(公告)日：2018-07-26

申请号：US15927634

申请日：2018-03-21

申请人： ZIMMER KNEE CREATIONS, INC.

发明人： Shaun B. Hanson ,  Christopher D. Mandeen

IPC分类号： A61B17/34 ,  A61B17/88 ,  A61B17/00

CPC分类号： A61B17/3476 ,  A61B17/3472 ,  A61B17/8816 ,  A61B17/8819 ,  A61B2017/00469 ,  A61B2017/00486

摘要： The present disclosure provides a modular instrument system for accessing a site within a patient's body, such as for example, to inject or remove material. In one exemplary embodiment, an access device is coupled to an adapter and power drilled into a site within a patient. Once the access device is in position, the adapter may be further attached to other instruments, or to an injection or extraction system. The adapter may accommodate various other connectors to make the instrument system compatible with a variety of other surgical instruments and tools.

公开(公告)号：US20180199929A1

公开(公告)日：2018-07-19

申请号：US15866973

申请日：2018-01-10

申请人： ATROPOS LIMITED

发明人： John BUTLER ,  Trevor VAUGH ,  Frank BONADIO ,  Catherine DEEGAN ,  Shane J. MacNALLY

IPC分类号： A61B17/02 ,  A61B17/34 ,  A61B17/06 ,  A61B34/00 ,  A61B17/3209 ,  A61B17/29 ,  A61B90/00 ,  A61B18/04 ,  A61B18/14 ,  A61B17/00 ,  A61B17/32

CPC分类号： A61B17/0218 ,  A61B17/0293 ,  A61B17/06109 ,  A61B17/29 ,  A61B17/32093 ,  A61B17/3415 ,  A61B17/3417 ,  A61B17/3421 ,  A61B17/3423 ,  A61B17/3431 ,  A61B17/3468 ,  A61B17/3476 ,  A61B17/3496 ,  A61B18/04 ,  A61B18/1487 ,  A61B34/70 ,  A61B2017/00353 ,  A61B2017/00473 ,  A61B2017/0225 ,  A61B2017/06042 ,  A61B2017/320044 ,  A61B2017/3443 ,  A61B2017/3484 ,  A61B2017/3492 ,  A61B2090/036 ,  A61B2090/08021

摘要： An apparatus (650) for inserting a distal ring (9) of a wound retractor device (2) through a wound opening comprises a bladeless tip (641) for creating the wound opening by forcing tissue apart, and a conveying device (5) for conveying the distal ring (9) through the wound opening. The conveying device (5) comprises a hook element (6) for engaging the distal ring (9) to convey the distal ring (9) through the wound opening, and a receiver housing (651) for receiving a seal (652) and a proximal ring (653) of the wound retractor device (2) to hold the seal (652) and the proximal ring (653) externally of the wound opening, and thus maintain a sleeve portion of the wound retractor device (2) in tension, during conveying of the distal ring (9) through the wound opening.