公开(公告)号：EP2248470B1

公开(公告)日：2018-10-10

申请号：EP09715876.0

申请日：2009-02-25

Applicant: Terumo Kabushiki Kaisha

Inventor： HAYAKAWA, Koichi

IPC: A61B17/00 ,  A61M37/00

CPC classification number: A61M13/003 ,  A61B17/00491 ,  A61B17/3417 ,  A61B17/3474 ,  A61B2017/00331 ,  A61B2017/00495 ,  A61B2017/00991 ,  A61B2017/3433 ,  A61M5/00 ,  A61M25/0068 ,  A61M2005/006 ,  A61M2025/0004

Abstract: An applicator which is used by being inserted into a living body includes: a nozzle which has a longer nozzle main body, and a nozzle head, which is provided on a front end side of the nozzle main body and through which liquid together with gas is expelled, with a curved section, which is curved or bent and has flexibility, being formed on the front end portion of the nozzle main body; and an outer tube through which the nozzle main body is inserted so as to be movable along a longitudinal direction thereof and a curve angle of the curved section is changed by inserting the curved section, thereby adjusting a direction of the nozzle head relative to an axis of the nozzle main body, wherein a gap is formed along the longitudinal direction between the outer tube and the nozzle, and wherein the gap functions as a discharge path for discharging the gas within the body cavity via the gap to the outside of the body when the body pressure within the body cavity rises.

公开(公告)号：EP3368134A1

公开(公告)日：2018-09-05

申请号：EP16798859.1

申请日：2016-10-27

Applicant: Acclarent, Inc.

Inventor： CHAN, Randy S. ,  MUNI, Ketan P. ,  HA, Hung V. ,  NGUYEN, Andy ,  SUDHOFF, Holger ,  LAM, Sivette ,  DEAN, Marc ,  POE, Dennis S.

IPC: A61M25/10

CPC classification number: A61F11/002 ,  A61B1/002 ,  A61B1/07 ,  A61B1/227 ,  A61B17/22032 ,  A61B17/24 ,  A61B17/32 ,  A61B2017/22082 ,  A61M25/0041 ,  A61M25/0054 ,  A61M25/0097 ,  A61M25/0113 ,  A61M25/10 ,  A61M29/02 ,  A61M2025/0004 ,  A61M2025/1093 ,  A61M2210/0675

Abstract: A dilation catheter includes a shaft and an expandable element. The shaft includes a proximal portion and a distal portion. The distal portion includes a tip and a bend. The tip is sized and configured to pass through an isthmus of a Eustachian tube (ET). The bend is proximal to the tip. The bend is formed at an angle configured to provide insertion of the tip into the isthmus of the ET via an ear canal associated with the ET. The expandable element is disposed at the distal portion of the shaft. The expandable element is configured to transition between a non-expanded state and an expanded state. The expandable element in the non-expanded state is configured for insertion into the ET via the isthmus. The expandable element in the expanded state is configured to dilate the ET.

公开(公告)号：EP3352833A1

公开(公告)日：2018-08-01

申请号：EP16778145.9

申请日：2016-09-15

Applicant: Medtronic Vascular Inc.

Inventor： MASSIMO, Morero ,  VIMERCATI, Claudia

IPC: A61M25/00 ,  A61M25/01

CPC classification number: A61B17/22 ,  A61B2017/22001 ,  A61B2017/22038 ,  A61B2017/22065 ,  A61B2017/22095 ,  A61M25/0043 ,  A61M25/0082 ,  A61M25/0097 ,  A61M25/0194 ,  A61M25/104 ,  A61M2025/0004 ,  A61M2025/0095 ,  A61M2025/0197

Abstract: An occlusion bypassing apparatus for re-entering the true lumen of a vessel after subintimally bypassing an occlusion in a vessel. The apparatus includes an outer shaft component having a needle lumen there-through. A proximal end of the outer shaft component is fixed within a handle of the apparatus at a first attachment point. A stabilization tube of the apparatus is disposed within the needle lumen. A proximal end of the stabilization tube is fixed within the handle at a second attachment point that is spaced apart from the first attachment point and an elongated body and a distal end of the stabilization tube are not attached to the outer shaft component. A needle component of the apparatus is configured to be slidably disposed within the stabilization tube and removable therefrom, and the stabilization tube minimizes resistive forces exerted onto the needle component by the outer shaft component.

公开(公告)号：EP3322470A1

公开(公告)日：2018-05-23

申请号：EP16700304.5

申请日：2016-01-11

Applicant: CTI Vascular AG

Inventor： GIANOTTI, Marc ,  FRITZ, Ulf ,  GAJIC, Dragana

IPC: A61M25/10 ,  A61M29/00 ,  A61M29/02 ,  A61M25/00 ,  A61M25/06

CPC classification number: A61M25/104 ,  A61M25/0097 ,  A61M25/0113 ,  A61M25/0136 ,  A61M29/00 ,  A61M29/02 ,  A61M2025/0004 ,  A61M2025/0681 ,  A61M2025/1068

Abstract: A comprehensive multi-functional device platform that can be variably configured by clinician operators for patient-specific anatomies and clinical situations for treating complex and total occlusions is provided. This device platform enables physicians of any skill level to effectively treat the most challenging and complex lesions/occlusions more conveniently in less time. The Functionally Integratable Catheter System (“FICS System”) represents a system of “functional units” that can be configured together to operate synergistically, and comprises at least four main “functional units,” including: (a) FICS Support Catheter; (b) FICS Dilator; (c) FICS PTA Catheter; and (d) FICS Lock-Grip Handle. Each “functional unit” can be provided in a pre-assembled form by the manufacturer, intended to be configured into variable combinations by clinician operators.

公开(公告)号：EP2408356B1

公开(公告)日：2018-05-23

申请号：EP10753040.4

申请日：2010-03-17

Applicant: Opsens Inc.

Inventor： BELLEVILLE , Claude ,  LALANCETTE , Sebastien ,  LOOI , MengChe ,  NAHON , Daniel ,  BERRADA , Marwane ,  ARLESS , Steve ,  BATAILLE , Olivier

IPC: A61M25/00 ,  A61M25/01 ,  A61B5/0215

CPC classification number: A61B5/0215 ,  A61M25/00 ,  A61M2025/0002 ,  A61M2025/0004 ,  A61M2025/0183

Abstract: There is herein described a catheter for measuring a pressure in a cardiovascular system. The catheter comprises: a guiding tube adapted for insertion into the cardiovascular system. The guiding tube defines a lumen for sliding a guidewire therethrough. The catheter further comprises a tip pressure sensor eccentrically mounted relative to the guiding tube and a signal communication means extending therefrom. The tip pressure sensor is for sensing a pressure in the cardiovascular system and the signal communicating means is for transmitting a signal indicative of the pressure to a processing device in order to obtain a pressure measurement reading.

公开(公告)号：EP3311775A1

公开(公告)日：2018-04-25

申请号：EP17201177.7

申请日：2009-06-19

Applicant: Edwards Lifesciences Corporation

Inventor： ROWE, Stanton ,  MAISANO, Francesco ,  MEIRI, Oded

IPC: A61F2/24

CPC classification number: A61F2/2427 ,  A61B17/0467 ,  A61B2017/32004 ,  A61F2/2409 ,  A61F2/2412 ,  A61F2/2418 ,  A61F2/2433 ,  A61F2/2436 ,  A61F2/2445 ,  A61F2220/0016 ,  A61F2230/0054 ,  A61F2250/006 ,  A61F2310/00023 ,  A61M25/10 ,  A61M25/104 ,  A61M2025/0004

Abstract: Disclosed herein are representative embodiments of methods, apparatus, and systems used to deliver a prosthetic heart valve to a deficient valve. In one embodiment, for instance, a support stent is delivered to a position on the surface of the outflow side of a native heart valve of a patient, the support stent defining a support- stent interior. An expandable prosthetic heart valve is delivered into the native heart valve from the inflow side of the native heart valve and into the support-stent interior. The expandable prosthetic heart valve is expanded while the expandable prosthetic valve is in the support-stent interior and while the support stent is at the position on the surface of the outflow side of the heart valve, thereby causing one or more of the native leaflets of the native heart valve to be frictionally secured between the support stent and the expanded prosthetic heart valve.

Abstract translation: 本文公开了用于将假体心脏瓣膜递送至不足瓣膜的方法，设备和系统的代表性实施例。 在一个实施例中，例如，支撑支架被递送至患者的天然心脏瓣膜的流出侧的表面上的位置，支撑支架限定支撑 - 支架内部。 可膨胀的人工心脏瓣膜从天然心脏瓣膜的流入侧输入自体心脏瓣膜并进入支架 - 支架内部。 当可扩张假体瓣膜位于支撑支架内部中并且支撑支架位于心脏瓣膜流出侧表面上的位置处时，可扩张假体心脏瓣膜被扩张，从而导致一个或多个天然小叶瓣叶 天然心脏瓣膜被摩擦地固定在支撑支架与膨胀的人造心脏瓣膜之间。

公开(公告)号：EP3310265A1

公开(公告)日：2018-04-25

申请号：EP16728504.8

申请日：2016-05-26

Applicant: Evalve, Inc.

Inventor： VAN HOVEN, Dylan T. ,  VITAL, Jose C. ,  LEE, Amy

IPC: A61B17/00

CPC classification number: A61M25/0147 ,  A61B17/1285 ,  A61B2017/00243 ,  A61B2017/00318 ,  A61B2017/00783 ,  A61M2025/0004 ,  A61M2025/015

Abstract: A steerable guide catheter includes a tip ring at a distal end and one or more pullwires configured to engage with the tip ring when put in tension, the pullwire(s) thereby subjecting the steerable guide catheter to a curving or turning force. The tip ring includes a saddle and one or more pullwire channels allowing the pullwire to be looped over the saddle such that when the pullwire is placed under tension, it abuts against the saddle of the tip ring. Some embodiments include additional catheters axially aligned within or outside of the steerable guide catheter, and include a keying feature aligning the rotation of the multiple catheters. The keys of the keying feature can be formed of a polyamide with a glass microsphere filler, and can be thermally welded to the catheter.

公开(公告)号：EP3305238A1

公开(公告)日：2018-04-11

申请号：EP15894295.3

申请日：2015-11-19

Applicant: Olympus Corporation

Inventor： YANAGIHARA, Masaru ,  KISHI, Kosuke

IPC: A61B90/00 ,  B25J11/00

CPC classification number: A61B46/10 ,  A61B17/00234 ,  A61B17/29 ,  A61B17/3423 ,  A61B18/1482 ,  A61B18/1492 ,  A61B34/30 ,  A61B34/32 ,  A61B34/37 ,  A61B34/70 ,  A61B34/71 ,  A61B34/74 ,  A61B90/03 ,  A61B90/06 ,  A61B90/50 ,  A61B2017/00314 ,  A61B2017/00323 ,  A61B2017/00477 ,  A61B2017/00929 ,  A61B2018/00077 ,  A61B2018/00083 ,  A61B2018/1412 ,  A61B2034/301 ,  A61B2034/302 ,  A61B2034/306 ,  A61B2090/034 ,  A61B2217/005 ,  A61B2218/007 ,  A61L2/206 ,  A61M25/0012 ,  A61M25/0015 ,  A61M25/005 ,  A61M2025/0004 ,  A61M2025/0019 ,  A61M2039/082 ,  B25J3/00 ,  B25J13/02 ,  B32B3/266 ,  H05K999/99

Abstract: To keep a clean area separated from an unclean area, a drape unit (43) for separating the manipulator that has a treatment section at a distal end of an elongated section and that has at a proximal end a proximal-end drive unit from the base (8) including, on a substantially horizontal top surface, a drive source (14) to which the proximal-end drive unit is detachably connected, the drape unit (43) includes: a drape main body (44) that has an opening (46) from which the drive source (14) is exposed; and an adaptor (45) that is interposed between the drive source (14) and the proximal-end drive unit, that is disposed with a gap vertically above the opening (46), and that covers the entire opening (46), the adaptor (45) includes a force transmission unit (51) for transmitting the driving force from the drive source (14) to the proximal-end drive unit.

Abstract translation: 为了保持清洁区域与不洁区域分开，用于分离在细长部分的远端处具有处理部分并且在近端具有近端驱动单元的机械手与底座分离的盖布单元（43） （8），其在大致水平的上表面上具有可拆卸地连接有所述基端驱动单元的驱动源（14），所述手术单元（43）包括：手术手主体（44），其具有开口 驱动源（14）从中露出; 以及介于所述驱动源（14）与所述基端驱动部之间且在所述开口部（46）的正上方具有间隙且覆盖所述开口部（46）的整个开口部（46）的适配器（45） （45）包括用于将驱动力从驱动源（14）传递到近端驱动单元的力传递单元（51）。

公开(公告)号：EP3305237A1

公开(公告)日：2018-04-11

申请号：EP15894294.6

申请日：2015-11-16

Applicant: OLYMPUS CORPORATION

Inventor： YANAGIHARA, Masaru ,  KISHI, Kosuke

IPC: A61B90/00 ,  A61B46/00

CPC classification number: A61B46/10 ,  A61B17/00234 ,  A61B17/29 ,  A61B17/3423 ,  A61B18/1482 ,  A61B18/1492 ,  A61B34/30 ,  A61B34/32 ,  A61B34/37 ,  A61B34/70 ,  A61B34/71 ,  A61B34/74 ,  A61B90/03 ,  A61B90/06 ,  A61B90/50 ,  A61B2017/00314 ,  A61B2017/00323 ,  A61B2017/00477 ,  A61B2017/00929 ,  A61B2018/00077 ,  A61B2018/00083 ,  A61B2018/1412 ,  A61B2034/301 ,  A61B2034/302 ,  A61B2034/306 ,  A61B2090/034 ,  A61B2217/005 ,  A61B2218/007 ,  A61L2/206 ,  A61M25/0012 ,  A61M25/0015 ,  A61M25/005 ,  A61M2025/0004 ,  A61M2025/0019 ,  A61M2039/082 ,  B25J3/00 ,  B25J13/02 ,  B32B3/266 ,  H05K999/99

Abstract: In order to improve work efficiency of inserting manipulators into proximal ends of an overtube, a medical manipulator system (1) includes: manipulators (5) having, at the proximal ends, proximal-end driving parts (11); an overtube (3) having channels (4) through which the manipulators (5) pass; and a base (8) provided with support parts (41) to which proximal end parts of the overtube (3) are attached, and driving sources (14) that supply driving force to the proximal-end driving parts (11), wherein each support part (41) includes a movable part movable between a first position where the longitudinal axis of the proximal end part is supported horizontally and a second position where the proximal end is supported at a further position from the top surface, and an urging part that moves the movable part to the second position during the proximal-end driving part (11) is not connected to the driving source (14).

Abstract translation: 为了提高将机械手插入套管的近端的作业效率，医疗用机械手系统（1）包括：在近端具有近端驱动部（11）的机械手（5）。 具有通道（4）的套管（3），所述操纵器（5）穿过所述通道; ，以及设置有安装套管（3）的基端部的支撑部（41）的基座（8）和向该基端驱动部（11）供给驱动力的驱动源（14），其中， 支承部（41）具有可动部，该可动部能够在将基端部的长轴水平支承的第一位置和将基端支承在离顶面更远的位置的第二位置之间移动， 在近端驱动部分（11）未连接到驱动源（14）期间，将可移动部分移动到第二位置。

公开(公告)号：EP3305162A1

公开(公告)日：2018-04-11

申请号：EP15894282.1

申请日：2015-10-02

Applicant: Olympus Corporation

Inventor： OGAWA, Ryohei ,  KISHI, Kosuke

IPC: A61B1/00

CPC classification number: A61B46/10 ,  A61B17/00234 ,  A61B17/29 ,  A61B17/3423 ,  A61B18/1482 ,  A61B18/1492 ,  A61B34/30 ,  A61B34/32 ,  A61B34/37 ,  A61B34/70 ,  A61B34/71 ,  A61B34/74 ,  A61B90/03 ,  A61B90/06 ,  A61B90/50 ,  A61B2017/00314 ,  A61B2017/00323 ,  A61B2017/00477 ,  A61B2017/00929 ,  A61B2018/00077 ,  A61B2018/00083 ,  A61B2018/1412 ,  A61B2034/301 ,  A61B2034/302 ,  A61B2034/306 ,  A61B2090/034 ,  A61B2217/005 ,  A61B2218/007 ,  A61L2/206 ,  A61M25/0012 ,  A61M25/0015 ,  A61M25/005 ,  A61M2025/0004 ,  A61M2025/0019 ,  A61M2039/082 ,  B25J3/00 ,  B25J13/02 ,  B32B3/266 ,  H05K999/99

Abstract: In order to prevent the manipulator (3) from unintentinal movement, and to reduce load applied to the joints, this madial manimpulator system (1) includes a manipulator (3) provided with an elongated portion (8), a movable portion (9) which has one or more joints (12, 13, 14), and a driving portion (10) which is disposed at a proximal end of the elongated portion and which drives the movable portion; a medical device (6) having a channel (7) that can accommodate at least a portion of the elongated portion and the movable portion; a manipulation input portion (2) that generates an operation instruction for moving the manipulator between a treatment state in which the movable portion protrudes from a distal end of the channel and an accommodated state in which the movable portion is accommodated in the channel in accordance with a manipulation instruction input; and a notifying portion (39) that notifies a situation in which the manipulator is shifting from the treatment state to the accommodated state.

Abstract translation: 为了防止操纵器3不希望的移动并减少施加在接头上的载荷，该精密制造系统（1）包括具有细长部分（8）的操纵器（3），可动部分（9） ，其具有一个或多个接头（12,13,14）;以及驱动部分（10），其设置在所述细长部分的近端并且驱动所述可移动部分; 具有通道（7）的医疗装置（6），所述通道（7）能够容纳所述细长部分和所述可移动部分的至少一部分; 操作输入部（2），其生成用于使所述操作部在所述可动部从所述流路的前端突出的处理状态和所述可动部被收纳于所述流路内的收纳状态之间移动的操作指示 一个操纵指令输入; 以及通知部分（39），其通知机械手从处理状态转换到收纳状态的情况。