摘要:
A medical device, such as a catheter/dilator assembly (94), a rapid exchange dilator assembly (116), a funnel catheter (190, 290), an anastomotic medical device (348, 380, 386-392, 410, 418-422, 434), and associated methods.
摘要:
Intravascular devices, systems, and methods are disclosed. In some embodiments, a guidewire system for treating a patient includes an internal sensor mount having a body and a first cutout extending through a wall of the body; a core wire secured to the internal sensor mount; a sensor assembly for detecting a physiological characteristic of a patient secured to the internal sensor mount; an external housing disposed about the internal sensor mount and including an opening in communication with the cutout of the internal sensor mount; a proximal flexible member secured to at least one of the internal sensor mount and the external housing; a first distal flexible member secured to at least one of the internal sensor mount and the external housing; and at least one conductor electrically coupled to the sensor assembly and extending proximally beyond the internal sensor mount through the proximal flexible member.
摘要:
A catheter for insertion into vasculature of a patient to a target area in the vasculature includes a hollow inner shaft, a non-occluding self-expandable scaffold coupled to the distal end of the inner shaft and disposed at the distal end of the inner shaft, and a hollow outer shaft. The outer shaft is slidable over the inner shaft and scaffold such that the scaffold is in a non-expanded state when the outer shaft is around the scaffold. The outer shaft has a state where the distal end of the outer shaft remains near the target area without the inner shaft and the scaffold being within the outer shaft. The inner shaft and the scaffold are removable through the proximal end of the outer shaft while the distal end of the outer shaft remains near the target area.
摘要:
A guidewire (36) for a medical device is disclosed. The guidewire includes an elongate body (90), a proximal connector assembly (98), a corewire (52), and a sensor assembly (54). The body has an annular wall (94) that defines an interior lumen (96). The proximal connector assembly is coupled to the body and is configured for connection to a medical positioning system (20). The corewire extends through the lumen. The sensor assembly located on a distal end of the corewire is electrically connected to the proximal connector assembly. The sensor assembly is configured to generate an electrical signal indicative of a position of the sensor assembly in a reference coordinate system defined by the medical positioning system being electrically connected by a pair of conductors (74) and, an electrically insulating structure (76) that surrounds the corewire and insulates the corewire from the two pair of electrical conductors.
摘要:
The invention provides a rotational atherectomy device having, in various embodiments, a flexible, elongated, rotatable drive shaft with a system of eccentric abrading heads attached thereto. At least part of the eccentric enlarged abrading heads in the system have a tissue removing surface—the abrading heads may be at least partially hollow. Preferably the abrading heads have centers of mass spaced radially from the rotational axis of the drive shaft, facilitating the ability of the system of abrading heads to work together to open the stenotic lesion to a diameter larger than the outer resting diameter of the abrading heads when operated at high speeds. Therefore, certain embodiments comprise a system having unbalanced centers of mass to not only stimulate greater rotational diameters but also arranged in a manner whereby a debris-removing augering effect occurs. Other embodiments may comprise systems having abrading heads with balanced centers of mass.
摘要:
An endoscopic biopsy instrument (1) is disclosed comprising a guide wire (2) arranged in a sheath (3), a drill device (5) arranged at a first end (4) of said guide wire (2), and an actuator (11) for actuating said drill device (5), said actuator being arranged at a second end (10) of said guide wire (2). The drill device (5) comprises an outer tube (6) and an inner cutting device (7). The inner cutting device (7) is slidable and rotatable inside said outer tube (6). The inner cutting device (7) has a helical cutting edge (8). An endoscope comprising such an endoscopic instrument (1) is also disclosed, as well as a method for taking a biopsy sample from a tissue of a subject.
摘要:
The present disclosure is directed to a system for treating a blood vessel. The system may include a shaft assembly (202) including an orienting element (204). The system may also include a re-entry device (100) extending into the shaft lumen. The re-entry device may comprise a core wire (104) configured such that bending stresses created in the core wire during bending about a design bend radius are less than the elastic limit of the core wire so that the core wire will elastically recover from the bending upon release.
摘要:
This disclosure is directed to systems and methods for providing a guiding device having a dilatable, drilling tip. The tip is formed by wound helical members such that resistance to rotation in an unwinding direction dilates the tip. The helical members are configured so that the dilatable tip increases in stiffness when the helical members are tensioned by a resistance to rotation in the winding direction. In some embodiments, application of relative force between coaxial inner and outer tubular members is used to control the dilation, stiffness and drilling of the guiding member.