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    MEDICAL TOOLS AND METHODS FOR GAINING ACCESS TO EXTRAVASCULAR SPACES
    4.
    发明申请
    MEDICAL TOOLS AND METHODS FOR GAINING ACCESS TO EXTRAVASCULAR SPACES 审中-公开
    用于获得进入空间的医疗工具和方法

    公开(公告)号：US20170007287A1

    公开(公告)日：2017-01-12

    申请号：US15204579

    申请日：2016-07-07

    Applicant: Medtronic, Inc.

    Inventor： Andrzej M. MALEWICZ ,  Ronald A. DRAKE ,  Keith D. ANDERSON ,  Roger A. CHRISTOPHERSON ,  Andrea J. ASLESON ,  Trent M. FISCHER ,  Lester O. STENER

    IPC: A61B17/32 ,  A61B17/34

    Abstract: This disclosure provides tools and implant techniques utilizing such tools to gain access to and implant a medical device, such as a medical electrical lead, within extravascular spaces. In one example, this disclosure provides a tool for creating a sub-sternal tunnel in a patient. The tool comprises a relatively straight guide member extending from a first end thereof to a second end thereof, a tunneling member extending from a first end thereof to a tip thereof, the tunneling member extending alongside and coplanar with the guide member, the first end of the tunneling member and the first end of the guide member being joined together, and a handle coupled to the guide member.

    Abstract translation: 本公开提供了利用这些工具在血管外空间内进入和植入诸如医疗电引线的医疗装置的工具和植入技术。 在一个示例中，本公开提供了用于在患者体内创建子胸骨隧道的工具。 所述工具包括从其第一端延伸到其第二端的相对直的引导构件，从其第一端延伸到其末端的隧道构件，所述隧道构件沿着所述引导构件并排并共面延伸，所述隧道构件的第一端 所述导引构件和所述引导构件的所述第一端接合在一起，以及联接到所述引导构件的手柄。

    EXTRAVASCULAR IMPLANT TOOLS AND IMPLANT TECHNIQUES UTILIZING SUCH TOOLS
    5.
    发明申请
    EXTRAVASCULAR IMPLANT TOOLS AND IMPLANT TECHNIQUES UTILIZING SUCH TOOLS 审中-公开
    使用这种工具的超声植入工具和植入技术

    公开(公告)号：US20160158530A1

    公开(公告)日：2016-06-09

    申请号：US14962541

    申请日：2015-12-08

    Applicant: Medtronic, Inc.

    Inventor： Ronald A. DRAKE ,  Kevin R. SEIFERT ,  Andrea J. ASLESON ,  Lester O. STENER ,  Nathan L. OLSON

    IPC: A61N1/05 ,  A61N1/39

    CPC classification number: A61N1/372 ,  A61B17/3468 ,  A61B2017/320056 ,  A61N1/0504 ,  A61N1/0563 ,  A61N1/3956

    Abstract: This disclosure provides various embodiments of implant tools and implant techniques utilizing those tools to implant components within extravascular locations. In one example, an implant tool for implanting a component within an extravascular location of a patient comprise a handle and a shaft adjacent the handle. The shaft has a proximal end, a distal end, and a body formed to define an open channel that extends from near the proximal end to the distal end. The open channel has a first width. The body has at least one flexible portion that defines an opening via which the open channel is accessed. The opening has a second width that is less than the first width. In another example, a sheath with an opening having the second width may be placed on the shaft of the implant tool instead of the implant tool having the at least one flexible portion.

    Abstract translation: 本公开提供了植入工具和植入技术的各种实施例，利用这些工具将组件植入血管外位置。 在一个示例中，用于将组件植入患者的血管外位置的植入工具包括手柄和邻近手柄的轴。 轴具有近端，远端和形成为限定从近端近端延伸到远端的开放通道的主体。 开放通道具有第一宽度。 身体具有至少一个柔性部分，该柔性部分限定开口，通过该开口访问开放通道。 开口具有小于第一宽度的第二宽度。 在另一示例中，具有第二宽度的开口的护套可以放置在植入工具的轴上，而不是具有至少一个柔性部分的植入工具。

    EXTRAVASCULAR IMPLANT TOOLS UTILIZING A BORE-IN MECHANISM AND IMPLANT TECHNIQUES USING SUCH TOOLS
    6.
    发明申请
    EXTRAVASCULAR IMPLANT TOOLS UTILIZING A BORE-IN MECHANISM AND IMPLANT TECHNIQUES USING SUCH TOOLS 审中-公开
    使用这种工具的使用机械和植入技术的超声植入工具

    公开(公告)号：US20160157890A1

    公开(公告)日：2016-06-09

    申请号：US14962485

    申请日：2015-12-08

    Applicant: Medtronic, Inc.

    Inventor： Ronald A. DRAKE ,  Kevin R. SEIFERT ,  Lester O. STENER ,  Amy E. THOMPSON-NAUMAN

    IPC: A61B17/34 ,  A61N1/05

    CPC classification number: A61B17/3468 ,  A61B2017/320056 ,  A61M25/0194 ,  A61N1/05 ,  A61N1/0573 ,  A61N1/0592

    Abstract: Extravascular implant tools that utilize a bore-in mechanism to safely access extravascular locations and implant techniques utilizing these tools are described. The bore-in mechanism may include a handle and a helix extending from the handle. The bore-in mechanism is used, for example, in conjunction with a tunneling tool to traverse the diaphragmatic attachments to access a substernal location. The tunneling tool may be an open channel tunneling tool or a conventional tunneling tool (e.g., metal rod).

    Abstract translation: 描述利用钻孔机构安全地进入血管外位置的血管内植入工具和利用这些工具的植入技术。 钻孔机构可以包括从手柄延伸的手柄和螺旋。 钻孔机构例如与隧道工具结合使用以横穿隔膜附件以进入下位置。 隧道工具可以是开放通道隧道工具或常规隧道工具（例如，金属杆）。

    EXTRAVASCULAR MEDICAL ACCESS TOOLS HAVING BORING TIP AND METHODS OF USING SUCH TOOLS
    9.
    发明申请
    EXTRAVASCULAR MEDICAL ACCESS TOOLS HAVING BORING TIP AND METHODS OF USING SUCH TOOLS 审中-公开
    具有镗孔尖端的超声医疗辅助工具及使用这些工具的方法

    公开(公告)号：US20170007297A1

    公开(公告)日：2017-01-12

    申请号：US15139546

    申请日：2016-04-27

    Applicant: Medtronic, Inc.

    Inventor： Ronald A. DRAKE ,  Lester O. STENER ,  John A. LANGE ,  Mitchell R. MACIVER

    IPC: A61B17/34 ,  A61B17/16

    CPC classification number: A61B17/3468 ,  A61B17/1691 ,  A61B17/32002 ,  A61B2017/00243 ,  A61B2017/320044 ,  A61B2017/320056 ,  A61N1/05 ,  A61N1/0504

    Abstract: This disclosure describes various tools and associated methods suitable for gaining access to extravascular spaces. The various tools and associated methods utilize a boring tip that may rotate to aid in safely and effectively crossing diaphragmatic attachments. The boring tip may, in some instances not have any sharp edge. For example, the boring tip may have a dome shape but including at least one surface recessed and offset from a summit of the dome shape. Various mechanisms may be used to control rotation of the boring tip as described herein.

    Abstract translation: 本公开描述适于获得进入血管外空间的各种工具和相关方法。 各种工具和相关方法利用可以旋转的镗孔，以有助于安全和有效地穿过膈肌附件。 在某些情况下，无聊尖端可能没有任何尖锐的边缘。 例如，镗尖可以具有圆顶形状，但是包括至少一个凹陷并偏离圆顶形状的顶点的表面。 可以使用各种机构来控制如本文所述的钻尖的旋转。

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