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公开(公告)号：US20160184022A1
公开(公告)日：2016-06-30
申请号：US14984308
申请日：2015-12-30
发明人： Kenneth P. Grace , Thomas Triffo , James Cezo
CPC分类号： A61B18/245 , A61B18/26 , A61B2018/00386 , A61B2018/00577 , A61B2018/2211 , A61B2018/263
摘要： The present disclosure relates generally to the use of medical devices for the treatment of vascular conditions. In particular, the present disclosure provides devices and methods for using laser-induced pressure waves created within a sheath to disrupt vascular blockages via the sheath and/or a tip at the end of the sheath.
摘要翻译： 本公开一般涉及医疗装置用于治疗血管病症的用途。 特别地，本公开提供了用于使用在护套内产生的激光诱导的压力波通过护套和/或护套末端处的血管阻塞来破坏血管阻塞的装置和方法。
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公开(公告)号：US20160183954A1
公开(公告)日：2016-06-30
申请号：US14978731
申请日：2015-12-22
发明人： Kevin D. Taylor , Pete Burton , Dave Atwell , Wade Bowe
IPC分类号： A61B17/221
CPC分类号： A61B17/221 , A61B17/3468 , A61B2017/2217 , A61N2001/0578
摘要： Snaring systems and methods involve engaging objects such as pacemaker pacing leads within a patient. Physicians can use snaring systems having loops, tags, and roller mechanisms to remove a pacing leads from a patient. For example, snaring systems can be inserted through a jugular access site, engaged with a pacemaker pacing lead, and withdrawn through the jugular access site so as to remove a portion of the pacing lead. Lead extraction techniques can be employed to further dislodge the pacing lead from the patient.
摘要翻译： 颈缩系统和方法涉及在患者体内接合诸如起搏器起搏线的对象。 医生可以使用具有回路，标签和辊机构的绷带系统来从患者去除起搏引线。 例如，可以通过颈动脉入口部位插入脐带系统，与起搏器起搏导线接合，并通过颈静脉通路位置取出，以便去除起搏线的一部分。 引线提取技术可用于进一步从起搏器中脱出起搏引导线。
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公开(公告)号：US09345508B2
公开(公告)日：2016-05-24
申请号：US14686424
申请日：2015-04-14
IPC分类号： A61B17/22 , A61B17/3207 , A61B18/24 , A61B17/3205 , A61B17/32
CPC分类号： A61B17/3207 , A61B17/22 , A61B17/32053 , A61B18/245 , A61B2017/22034 , A61B2017/22042 , A61B2017/320064 , A61B2017/320716 , A61B2018/00386 , A61B2018/00577
摘要： This disclosure discusses various methods and devices for capturing plaque that is to be removed from a blood vessel after the plaque has been separated from the blood vessel or remaining plaque.
摘要翻译： 该公开内容讨论了在斑块已经从血管或剩余的斑块分离之后捕获要从血管中移除的斑块的各种方法和装置。
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公开(公告)号：US20160135893A1
公开(公告)日：2016-05-19
申请号：US15002785
申请日：2016-01-21
发明人： Thomas R. Winston , John M. Neet
IPC分类号： A61B18/24
CPC分类号： A61B18/245 , A61B18/24 , A61B2017/22051 , A61B2018/00214 , A61B2018/00577 , A61B2018/2211 , A61B2018/2238 , A61B2018/2266 , A61B2018/2288 , A61M25/0021 , A61M25/0023 , A61M25/1002 , A61M29/02 , A61M2025/0024 , A61M2025/1004
摘要： Expandable laser catheters for utilizing laser energy to remove obstructions from body passages are described. In one embodiment, the laser catheter includes a shaftway having a distal end including a flexible portion configured in a series of radial folds. Multiple optical fibers, configured to transmit laser energy, extend along the shaftway and are attached to the flexible portion. An inflatable, ring-shaped balloon is attached to the catheter within the flexible portion. In use, the catheter is inserted into a body passage such as an artery, and advanced until the distal end is adjacent to an obstruction. The balloon is inflated to expand the flexible portion and to bring the optical fibers nearer the inner wall of the body passage. Laser energy is directed by the optical fibers toward targeted regions of the obstruction, As the catheter is advanced and the process repeated, a core is formed from the obstruction and contained within the flexible portion. The flexible portion is then contracted to hold the core, and the core is removed from the body passage by withdrawing the catheter.
摘要翻译： 描述了用于利用激光能量去除身体通道的障碍物的可扩展激光导管。 在一个实施例中，激光导管包括具有远端的轴通道，该远端包括构造成一系列径向折叠的柔性部分。 被配置为传递激光能量的多个光纤沿着轴线延伸并附接到柔性部分。 可膨胀的环形气囊在柔性部分内连接到导管。 在使用中，将导管插入诸如动脉的身体通道中，并且前进直到远端与障碍物相邻。 气球膨胀以使柔性部分膨胀并使光纤更接近身体通道的内壁。 激光能量被光纤引导到障碍物的目标区域。当导管前进并且重复该过程时，从障碍物形成芯并且包含在柔性部分内。 然后将柔性部分收缩以保持芯部，并且通过抽出导管将芯部从身体通道移除。
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公开(公告)号：US09289226B2
公开(公告)日：2016-03-22
申请号：US14589688
申请日：2015-01-05
发明人： Kevin D. Taylor
IPC分类号： A61B17/00 , A61B17/32 , A61B17/3205 , A61B17/3207 , A61B19/00 , A61N1/05
CPC分类号： A61B17/32053 , A61B17/320016 , A61B17/320758 , A61B90/39 , A61B2017/00336 , A61B2017/320024 , A61B2017/320741 , A61B2090/0811 , A61N1/056 , A61N2001/0578
摘要： A method for detaching an object from a patient includes providing a tool having a sheath, and a separating assembly operably coupled to a distal end of the sheath. The separating assembly includes a separator moveably coupled to a tip via a threadable connection. The separating assembly is placed near patient tissue that is attached to the object, the sheath is rotated to move the separator distal to the tip, and the separator is applied to the patient tissue that is attached to the object, so as to separate the tissue. A separating system includes a sheath, and a separator threadably coupled with a distal end of the sheath. The separator is adapted to switch between a first configuration where a separating mechanism is deployed, and a second configuration where the separating mechanism is undeployed.
摘要翻译： 用于从患者中分离物体的方法包括提供具有护套的工具，以及可操作地联接到护套的远端的分离组件。 分离组件包括通过可螺纹连接件可移动地联接到尖端的分离器。 分离组件放置在患者组织附近，附着在物体上，护套旋转以使分离器远离尖端移动，并且将分离器施加到附着于物体的患者组织上，以便分离组织 。 分离系统包括护套和与护套的远端螺纹连接的分离器。 分离器适于在展开分离机构的第一构造与分离机构未被部署的第二构造之间切换。
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公开(公告)号：US20160015963A1
公开(公告)日：2016-01-21
申请号：US14771775
申请日：2014-03-13
发明人： Kenneth P. GRACE , Bruce A. HOO
CPC分类号： A61N1/05 , A61B17/00234 , A61B17/320016 , A61B17/32053 , A61B17/3468 , A61B2017/00455 , A61B2017/2903 , A61B2017/2924 , A61B2017/32004 , A61B2090/08021 , A61B2090/0811 , A61N1/056
摘要： Methods and devices for separating an implanted object, such as a pacemaker lead, from tissue surrounding such object in a patient's vasculature system. Specifically, the tissue separating device includes a handle, an elongate sheath and a circular cutting blade that may extend from the distal end of the sheath upon actuating the handle. The elongate sheath, particularly its distal end, includes a non-uniform wall thickness having one or more thicker portions in the outer sheath, particularly the outer cam member, and/or one or more thicker portions in an inner member disposed radially inward of the blade.
摘要翻译： 用于将植入物体（例如起搏器引线）从患者血管系统中围绕该物体的组织分离的方法和装置。 具体地，组织分离装置包括手柄，细长护套和圆形切割刀片，其可在致动手柄时从护套的远端延伸。 细长护套，特别是其远端包括在外护套中具有一个或多个较厚部分，特别是外凸轮构件的不均匀的壁厚，和/或在内部构件中的一个或多个更厚的部分， 刀。
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97.发明申请公开(公告)号：US20160000975A1
公开(公告)日：2016-01-07
申请号：US14852790
申请日：2015-09-14
CPC分类号： A61L29/085 , A61L29/148 , A61L29/16 , A61L33/0005 , A61L2300/204 , A61L2300/416 , A61L2400/00 , A61L2420/06 , A61M25/10 , A61M25/1027 , A61M2025/105 , A61M2025/1075 , A61M2025/1081 , A61M2025/109 , C08L33/02
摘要： A method and device for local delivery of a water-insoluble therapeutic agent to the tissue of a normal or diseased body lumen is disclosed. An expandable structure of a medical disposable device, such as a balloon of a balloon catheter, is coated with a non-durable coating which comprises poly(HEMA) complexed with iodine and has a substantially water-insoluble therapeutic agent dispersed therein. The medical disposable device is inserted into a body lumen, and expanded to contact the non-durable coating against the body lumen and deliver the substantially water-insoluble therapeutic agent to the body lumen tissue.
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98.发明申请SYSTEM AND METHOD OF ABLATIVE CUTTING AND VACUUM ASPIRATION THROUGH PRIMARY ORIFICE AND AUXILIARY SIDE PORT 审中-公开通过主要和辅助端口进行抽出切割和真空吸收的系统和方法公开(公告)号：US20150342682A1
公开(公告)日：2015-12-03
申请号：US14725766
申请日：2015-05-29
发明人： Wade Bowe
IPC分类号： A61B18/24 , A61M1/00 , A61B17/3207
CPC分类号： A61B18/245 , A61B17/3207 , A61B17/320758 , A61B2017/22079 , A61B2017/320775 , A61B2018/00345 , A61B2018/00577 , A61B2018/2211 , A61B2218/007 , A61M1/008
摘要： A system for ablation and removal of occlusions from blood vessels is provided. Laser cutting systems and mechanical cutting systems are provided in catheter devices, the cutting systems operable to ablate, cut, dislodge, and otherwise remove occlusions within a blood vessel that may limit or prevent proper circulation. Aspiration systems are further provided, the aspiration systems operable to remove ablated, cut, or dislodged material through a primary orifice at the distal end of the catheter and/or through an auxiliary orifice, which may be on the side of the catheter.
摘要翻译： 提供了一种用于消融和去除血管闭塞的系统。 激光切割系统和机械切割系统设置在导管装置中，切割系统可操作以消融，切割，移除和以其他方式去除可能限制或阻止适当循环的血管内的闭塞。 进一步提供抽吸系统，该抽吸系统可操作以通过导管远端处的主要孔口和/或通过可在导管侧面的辅助孔口去除消融，切割或移动的材料。
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公开(公告)号：US20150342680A1
公开(公告)日：2015-12-03
申请号：US14725781
申请日：2015-05-29
发明人： Blaine Schneider
CPC分类号： A61B18/24 , A61B17/32053 , A61B2018/00345 , A61B2018/00577 , A61B2018/00601 , A61N1/057 , A61N2001/0578
摘要： Methods and devices for separating an implanted object, such as a pacemaker lead, from tissue surrounding such object in a patient's vasculature system. Specifically, the tissue separating device includes a handle, an elongate sheath and a circular cutting blade that may extend from the distal end of the sheath upon actuating the handle. The elongate sheath, particularly its distal end, includes a non-uniform wall thickness having one or more thicker portions in the outer sheath, particularly the outer cam member, and/or one or more thicker portions in an inner member disposed radially inward of the blade. Having an increased wall thickness for a portion of either or both of the outer cam member and circular inner member assists in shielding the vasculature from the blade during extension and guides the lead away from that portion of the inner cam member and towards the center of the lumen, thereby decreasing the likelihood that the cutting surface will cut the lead upon lead entry or upon contact the tissue upon blade extension.
摘要翻译： 用于将植入物体（例如起搏器引线）从患者血管系统中围绕该物体的组织分离的方法和装置。 具体地，组织分离装置包括手柄，细长护套和圆形切割刀片，其可在致动手柄时从护套的远端延伸。 细长护套，特别是其远端包括在外护套中具有一个或多个较厚部分，特别是外凸轮构件的不均匀的壁厚，和/或在内部构件中的一个或多个更厚的部分， 刀。 对于外凸轮构件和圆形内构件中的一个或两者的一部分具有增加的壁厚有助于在延伸期间将脉管系统从叶片屏蔽起来，并将引导件远离内凸轮构件的该部分并且朝向内凸轮的中心 从而减少切割表面在引线进入时或在刀片延伸时接触组织时切割引线的可能性。
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公开(公告)号：US20150342677A1
公开(公告)日：2015-12-03
申请号：US14700576
申请日：2015-04-30
发明人： Kenneth Chalfant
CPC分类号： A61B18/20 , A61B18/24 , A61B90/98 , A61B2017/00199 , A61B2017/00221 , A61B2017/00973 , A61B2018/00577
摘要： A laser system for use in an environment is disclosed. The laser system may include a base unit including a laser, a controller operatively coupled to the laser, and a first antenna operatively coupled to the controller. The laser system may further include a laser energy delivery system having a first end which receives laser energy from the laser and a second end which delivers the laser energy to the environment. The laser system may further include a switch unit located remote from the base unit and including a switch controller, a second antenna operatively coupled to the switch controller, and a user operable switch. The switch unit may be connected to the base unit through a tether. The controller may determine when the laser energy is provided to the laser energy delivery system based on a signal from the switch unit, the signal being sent wirelessly to the controller from the second antenna of the switch unit to the first antenna of the base unit.
摘要翻译： 公开了一种在环境中使用的激光系统。 激光系统可以包括基本单元，其包括激光器，可操作地耦合到激光器的控制器和可操作地耦合到控制器的第一天线。 激光系统还可以包括具有从激光器接收激光能量的第一端和将激光能量传送到环境的第二端的激光能量输送系统。 激光系统还可以包括位于远离基本单元并且包括开关控制器，可操作地耦合到开关控制器的第二天线和用户可操作开关的开关单元。 开关单元可以通过系绳连接到基座单元。 控制器可以基于来自开关单元的信号来确定激光能量何时被提供给激光能量传递系统，该信号被无线地发送到控制器，从开关单元的第二天线到基本单元的第一天线。
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