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公开(公告)号:US20240237997A1
公开(公告)日:2024-07-18
申请号:US18688941
申请日:2022-09-06
发明人: Amr SALAHIEH , Aadel AL-JADDA , Kevin MULLER
CPC分类号: A61B17/22 , A61B17/00234 , A61B2017/00238 , A61B2017/00305 , A61B2017/00318 , A61B2017/00367 , A61B2017/22045 , A61B2017/22079
摘要: The present technology relates to systems and methods for delivering a dilator sheath to a target location within a patient. The dilator sheath can include a guidewire lumen configured to receive a guidewire. Embodiments are provided in which an interference fit between the guidewire and the guidewire lumen facilitate steering of the dilator sheath in at least one direction. Methods of delivering the dilator sheath are provided. Methods of delivering a medical device with the dilator sheath are also provided.
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公开(公告)号:US20190125373A1
公开(公告)日:2019-05-02
申请号:US16160162
申请日:2018-10-15
发明人: Joshua Brenizer , Jesse Leonard Farris, III , Thomas Kouchoukos , Mark Wendle , Brandon VanHee , Dean Peterson , Steve Michael , Alexander Marine , Lyndon Carlson
CPC分类号: A61B17/22 , A61B17/00234 , A61B90/39 , A61B2017/00292 , A61B2017/22045 , A61B2017/22051 , A61B2017/22095 , A61B2090/3966 , A61M25/0021 , A61M25/0108 , A61M25/0147 , A61M25/0194 , A61M2025/0177 , A61M2025/018 , A61M2025/0197 , A61M2025/09008
摘要: Catheter devices, assemblies and related methods for percutaneous crossing of an occlusion in a blood vessel are disclosed. A catheter device can include a central catheter, two side tubes, and a distally-protruding, curved subintimal guidewire. The central catheter can define a central lumen that extends from a proximal end to a distal end of the central catheter. The lumen can be configured to receive a primary guidewire. The central catheter can also define at least one reentry aperture oriented transverse to the central lumen. The first and second side tubes can be coupled with the central catheter, extending along a longitudinal axis thereof, with the first side tube flanking an opposite side of the central catheter relative to the second side tube. The subintimal guidewire can extend from the first side tube, distally beyond the distal end of the central catheter, to the second side tube.
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公开(公告)号:US20150201956A1
公开(公告)日:2015-07-23
申请号:US14597932
申请日:2015-01-15
发明人: Joseph P. Higgins , Victor L. Schoenle , Michael J. Grace , Matthew D. Cambronne , Robert E. Kohler
IPC分类号: A61B17/3207
CPC分类号: A61B17/3207 , A61B17/320758 , A61B2017/00017 , A61B2017/00123 , A61B2017/00199 , A61B2017/00398 , A61B2017/22045 , A61B2017/320004 , A61B2017/320032 , A61B2017/320766 , A61B2090/066 , A61B2090/0801
摘要: A rotational atherectomy system is disclosed, comprising: an elongated, flexible spin-to-open drive shaft having a distal end for insertion into a vasculature of a patient and having a proximal end opposite the distal end remaining outside the vasculature of the patient; a concentric or eccentric abrasive element, preferably a solid crown, attached to the drive shaft proximate the distal end of the drive shaft; an electric motor rotatably coupled to the proximal end of the drive shaft, the electric motor being capable of rotating the drive shaft in a spin-to-open direction; and control electronics for monitoring and controlling the rotation of the electric motor. When an obstruction at the distal end is detected by the applied torque and/or current reaching a predetermined maximum allowed level and with the drive shaft opened to a maximum allowed outer diameter, power to the motor is eliminated.
摘要翻译: 公开了一种旋转粥样斑块切除术系统,包括:细长的,柔性的旋转到开放的驱动轴,其具有用于插入患者脉管系统的远端,并且具有与远端相对的近端,其保持在患者的脉管外部; 在驱动轴的远端附近附接到驱动轴的同心或偏心的研磨元件,优选为实心冠; 电动机,其可旋转地联接到所述驱动轴的近端,所述电动机能够以旋转方向旋转所述驱动轴; 以及用于监测和控制电动机的旋转的控制电子装置。 当通过施加的扭矩和/或电流达到预定的最大允许水平并且驱动轴打开到最大允许外径来检测远端处的障碍物时,消除对电动机的电力。
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公开(公告)号:US09072537B2
公开(公告)日:2015-07-07
申请号:US13365884
申请日:2012-02-03
IPC分类号: A61F2/01 , A61B17/221 , A61B17/3207 , A61B17/00 , A61B17/22 , A61F2/915 , A61F2/82
CPC分类号: A61B17/221 , A61B17/3207 , A61B17/320725 , A61B17/32075 , A61B2017/00778 , A61B2017/22045 , A61B2017/2215 , A61F2/01 , A61F2/915 , A61F2002/016 , A61F2002/018 , A61F2002/825 , A61F2230/0006 , A61F2230/0069 , A61F2230/0097
摘要: Devices including, but not limited to, a self-expandable member having a proximal end portion and a main body portion. The self-expandable member is movable from a first delivery position to a second placement position, in the first delivery position the expandable member being in an unexpanded position and having a nominal first diameter and in the second position the expandable member being in a radially expanded position and having a second nominal diameter greater than the first nominal diameter for deployment within a vessel or duct of a patient. The expandable member includes a plurality of cell structures with the cell structures in the main body portion extending circumferentially around a longitudinal axis of the expandable member and the cell structures in the proximal end portion extending less than circumferentially around the longitudinal axis of the expandable member.
摘要翻译: 包括但不限于具有近端部分和主体部分的自扩张部件的装置。 自膨胀构件可从第一输送位置移动到第二放置位置,在第一输送位置,可膨胀构件处于未膨胀位置并具有标称第一直径,并且在第二位置,可膨胀构件处于径向扩张 并且具有大于第一公称直径的第二公称直径以用于部署在患者的血管或管道内。 可扩张构件包括多个单元结构,其中主体部分中的单元结构围绕可扩展构件的纵向轴线周向延伸,并且近端部分中的单元结构沿着可扩展构件的纵向轴线周向延伸。
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公开(公告)号:US09044263B2
公开(公告)日:2015-06-02
申请号:US13962792
申请日:2013-08-08
IPC分类号: A61B17/3207 , A61B17/22 , A61B17/221 , A61F2/01 , A61F2/915
CPC分类号: A61B17/320725 , A61B17/32075 , A61B2017/22045 , A61B2017/2215 , A61B2017/320716 , A61F2/013 , A61F2002/91558
摘要: Devices including, but not limited to, a self-expandable member having a proximal end portion and a main body portion. The self-expandable member is movable from a first delivery position to a second placement position, in the first delivery position the expandable member being in an unexpanded position and having a nominal first diameter and in the second position the expandable member being in a radially expanded position and having a second nominal diameter greater than the first nominal diameter for deployment within a vessel or duct of a patient. The expandable member includes a plurality of cell structures with the cell structures in the main body portion extending circumferentially around a longitudinal axis of the expandable member and the cell structures in the proximal end portion extending less than circumferentially around the longitudinal axis of the expandable member to form first and second peripheral rails that vary in width along their lengths.
摘要翻译: 包括但不限于具有近端部分和主体部分的自扩张部件的装置。 自膨胀构件可从第一输送位置移动到第二放置位置,在第一输送位置,可膨胀构件处于未膨胀位置并具有标称第一直径,并且在第二位置,可膨胀构件处于径向扩张 并且具有大于第一公称直径的第二公称直径以用于部署在患者的血管或管道内。 可扩张构件包括多个单元结构,其中主体部分中的单元结构围绕可扩展构件的纵向轴线周向延伸,并且近端部分中的单元结构沿着可扩展构件的纵向轴线周向延伸, 形成沿其长度宽度变化的第一和第二周边轨道。
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公开(公告)号:US20140163594A1
公开(公告)日:2014-06-12
申请号:US14181658
申请日:2014-02-15
IPC分类号: A61B17/3207
CPC分类号: A61B17/32075 , A61B17/320725 , A61B2017/22038 , A61B2017/22045 , A61B2017/22061 , A61B2017/320733 , A61B2017/320741 , A61M25/104
摘要: A method of treating a lesion in a body lumen to enlarge a passageway in the lumen including providing a cutting member, connecting a tracking member to the cutting member to form an assembly, inserting the connected cutting member and tracking member through a first lumen of a catheter, withdrawing the catheter from the cutting member and tracking member, inserting the catheter over the tracking member and leaving the cutting member outside the catheter, and expanding a portion of the catheter to move the cutting member into cutting contact with the lesion. A device for treating a lesion in a body lumen including a cutting member having a coupler to connect a tracking member is also provided.
摘要翻译: 一种治疗体腔内病变的方法,以扩大内腔中的通道,包括提供切割构件,将跟踪构件连接到切割构件以形成组件,将连接的切割构件和跟踪构件穿过第一内腔 导管,将导管从切割构件和跟踪构件中取出,将导管插入跟踪构件并将切割构件留在导管之外,并且使导管的一部分膨胀以使切割构件移动到与损伤的切割接触。 还提供了一种用于治疗体腔内的病变的装置,其包括具有用于连接跟踪构件的耦合器的切割构件。
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公开(公告)号:US08136711B2
公开(公告)日:2012-03-20
申请号:US12571659
申请日:2009-10-01
申请人: John W. Beardsley , Stanislaw Kostrzewski , Frank C. Maffei , Lee Ann Olson , Sachin Shah , William R. Mayfield
发明人: John W. Beardsley , Stanislaw Kostrzewski , Frank C. Maffei , Lee Ann Olson , Sachin Shah , William R. Mayfield
IPC分类号: A61B17/068
CPC分类号: A61B17/07207 , A61B2017/003 , A61B2017/00473 , A61B2017/00477 , A61B2017/00858 , A61B2017/00862 , A61B2017/00946 , A61B2017/07214 , A61B2017/07228 , A61B2017/22045 , A61B2017/320044 , A61B2017/320048
摘要: The present disclosure describes a surgical fastener applying apparatus that includes an elongate body portion having proximal and distal ends, an end effector including a first movably coupled to a second jaw that is positioned at the distal end of the elongate body portion, and an introducer member. The introducer member has proximal and distal portions, and is configured and dimensioned for releasable connection with the end effector. The introducer member is at least partially formed from a flexible material, and is configured and dimensioned to separate target tissue from collateral tissue prior to positioning of the target tissue between the first and second jaws of the end effector.
摘要翻译: 本公开描述了一种手术紧固件施加装置,其包括具有近端和远端的细长主体部分,末端执行器,包括第一可移动地联接到位于细长主体部分的远端处的第二钳口,以及导引器构件 。 导引器构件具有近端部分和远端部分,并且构造和尺寸设计成用于与末端执行器的可释放连接。 导引器构件至少部分地由柔性材料形成,并且被构造和尺寸设计成在将目标组织定位在末端执行器的第一和第二钳口之前,将目标组织与副组织分开。
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公开(公告)号:US20110082493A1
公开(公告)日:2011-04-07
申请号:US12966311
申请日:2010-12-13
申请人: Gene Samson , Harold F. Carrison
发明人: Gene Samson , Harold F. Carrison
IPC分类号: A61F2/01
CPC分类号: A61F2/013 , A61B17/221 , A61B90/39 , A61B2017/22034 , A61B2017/22045 , A61B2017/22084 , A61B2017/2212 , A61B2090/376 , A61F2/01 , A61F2002/011 , A61F2002/016 , A61F2230/0006 , A61F2230/005 , A61F2230/0067 , A61F2230/0071
摘要: This is a surgical device usually delivered through an intravascular catheter. It may be used in several ways. It may, for instance, be used to open a clear passageway adjacent thrombus to allow both blood and medication to bypass the clot. It may be used to pierce and to remove thrombus. These thrombus are often found in tortuous vasculature. The device includes several sections. The device has a core element, typically a core wire. Placed around the distal end of the core element is a collapsible but preferably self expanding proximal cage assembly and a distal filter, preferably a self-expanding cage assembly or other filter component. The various portions of those components are preferably radio-opaque. The proximal end of the proximal cage is typically is affixed to an actuator in such a way as to allow expansion of the cage after deployment. The proximal cage assembly may be used for collecting emboli or for displacing them to allow blood flow to resume, either with or without concurrent clot-dissolving drug treatment. The distal sector, whether a self-expanding cage or fan, is placed distally of the thrombus to collect portions of the thrombus which may loosen during the treatment or removal procedure.
摘要翻译: 这是通常通过血管内导管递送的手术装置。 它可以以几种方式使用。 例如,它可以用于打开邻近血栓的清晰通道,以允许血液和药物绕过凝块。 它可以用于刺穿和去除血栓。 这些血栓通常在曲折的脉管系统中发现。 该设备包括几个部分。 该装置具有核心元件,通常为芯线。 围绕芯元件的远端放置的是可折叠但优选自扩张的近端保持器组件和远端过滤器,优选自膨胀笼组件或其它过滤器部件。 这些部件的各个部分优选地是不透射线的。 近端保持架的近端通常被固定到致动器上,以允许在展开之后使笼膨胀。 近端笼组件可用于收集栓塞或用于置换它们以允许血流恢复,无论是否伴有凝血溶解药物治疗。 远端部分,无论是自膨胀笼或风扇,是否位于血栓的远端,以收集在治疗或移除手术过程中可能松动的部分血栓。
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公开(公告)号:US07875050B2
公开(公告)日:2011-01-25
申请号:US10082492
申请日:2002-02-22
申请人: Gene Samson , Harold F Carrison
发明人: Gene Samson , Harold F Carrison
IPC分类号: A61M29/00
CPC分类号: A61F2/013 , A61B17/221 , A61B90/39 , A61B2017/22034 , A61B2017/22045 , A61B2017/22084 , A61B2017/2212 , A61B2090/376 , A61F2/01 , A61F2002/011 , A61F2002/016 , A61F2230/0006 , A61F2230/005 , A61F2230/0067 , A61F2230/0071
摘要: An embolism treatment device includes an elongated core wire having a coil tip coupled to the distal end of the core wire and a cage assembly substantially coaxial to the core wire, having a first deployment shape and a second expanded shape. The core wire is freely moveable axially through the cage assembly. The device additionally includes an inner coil surrounding the core wire within the cage assembly and an actuator element, having a first position and a second position, located proximally to the cage assembly, wherein when the actuator element is in the first position, the cage assembly is in the first deployment shape and when the actuator element is in the second position, the cage assembly is in the second expanded shape.
摘要翻译: 栓塞治疗装置包括细长的芯线,其具有联接到芯线的远端的线圈末端和与芯线基本同轴的保持架组件,具有第一展开形状和第二扩张形状。 芯线可以轴向自由移动通过保持架组件。 该装置还包括围绕保持架组件内的芯线的内部线圈和具有位于保持架组件的近侧的第一位置和第二位置的致动器元件,其中当致动器元件处于第一位置时,保持架组件 处于第一展开形状,并且当致动器元件处于第二位置时,保持架组件处于第二展开形状。
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公开(公告)号:US20090005806A1
公开(公告)日:2009-01-01
申请号:US11813170
申请日:2005-12-29
申请人: Keita Suzuki
发明人: Keita Suzuki
IPC分类号: A61B17/94
CPC分类号: A61B17/29 , A61B10/06 , A61B18/1445 , A61B18/1492 , A61B90/39 , A61B2017/22039 , A61B2017/22045 , A61B2017/2829 , A61B2017/2926 , A61B2217/005
摘要: A treatment tool (1) for an endoscope includes: an elongate-flexible tube (5); a second forceps piece (8) which is disposed at the tip of the flexible tube (5); a first forceps piece (7) which is disposed at the tip of the flexible tube (5) and which moves so as to open from or close against the second forceps piece (8); and a guide portion (12) which is provided in the second forceps piece (8) so as to protrude forward of the tip of the first forceps piece (7) along with extending in the longitudinal direction of the second forceps piece (8).
摘要翻译: 一种用于内窥镜的治疗工具(1),包括:细长柔性管(5); 第二镊子片(8),设置在柔性管(5)的尖端处; 第一镊子片(7),其设置在所述柔性管(5)的尖端处并且移动以从所述第二镊子片(8)打开或靠近所述第二镊子片(8); 以及引导部(12),其设置在所述第二镊子片(8)中,以沿着所述第二镊子片(8)的长度方向延伸地突出到所述第一钳子片(7)的前端的前方。
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